Healthcare Provider Details

I. General information

NPI: 1497714448
Provider Name (Legal Business Name): RAMESH K KHURANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10780 HICKORY RIDGE RD
COLUMBIA MD
21044-3646
US

IV. Provider business mailing address

10780 HICKORY RIDGE RD
COLUMBIA MD
21044-3646
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-3113
  • Fax: 410-997-1828
Mailing address:
  • Phone: 410-997-3113
  • Fax: 410-997-1828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0016703
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: