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General NPI Number Information
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NPI Number | 1366807091
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Entity Type | Organization
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Legal Business Name | NANDITA M. KHANEJA, MD, PC
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 26003 UNION TPKE # A
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City | GLEN OAKS
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State | NY
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Zip | 11004-1345
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Country | US
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Telephone | 917-674-5108
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Fax | 718-263-9666
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Provider Business Mailing Address
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Address Line | PO BOX 670992
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City | FLUSHING
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State | NY
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Zip | 11367-0992
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Country | US
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Telephone | 917-674-5108
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Fax | 718-812-4753
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Authorized Official
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Title or Position | OWNER
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Name | NANDITA M MATHUR KHANEJA
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Credential |
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Telephone | 718-812-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 236763
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License Number State | NY
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