Healthcare Provider Details

I. General information

NPI: 1053808972
Provider Name (Legal Business Name): KARANPREET KAUR KHAHERA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARANPREET K TAKHAR DO

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 WESTPARK DR
MC LEAN VA
22102-3109
US

IV. Provider business mailing address

1212 N PINES RD
SPOKANE VALLEY WA
99206-4939
US

V. Phone/Fax

Practice location:
  • Phone: 703-287-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102206537
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO.OP.61215470
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: