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General NPI Number Information
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NPI Number | 1205030764
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Entity Type | Organization
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Legal Business Name | MOHAN S KHURANA MD PA
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 130 S INDIANA AVE STE A
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City | ENGLEWOOD
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State | FL
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Zip | 34223-3301
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Country | US
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Telephone | 941-473-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 BAYSHORE DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223-2302
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Country | US
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Telephone | 941-473-3303
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAN SINGH KHURANA
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Credential | M.D.
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Telephone | 941-473-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME27717
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License Number State | FL
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