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General NPI Number Information
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NPI Number | 1720847254
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Entity Type | Organization
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Legal Business Name | HIMANSH KHANNA, MD, PC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 540 5TH AVE GROUND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11215-5157
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Country | US
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Telephone | 347-889-6640
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Fax | 347-889-6640
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Provider Business Mailing Address
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Address Line | CHURCH ST. STATION P.O. BOX 13
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City | NEW YORK
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State | NY
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Zip | 10008-0013
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Country | US
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Telephone | 347-889-6640
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Fax | 347-889-6601
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HIMANSH KHANNA
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Credential | MD
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Telephone | 347-889-6640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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