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NPI Code Detail

MEDICARE: DR. GINNY GUJRAL KHANNA D.O.

MEDICARE: DR. GINNY GUJRAL KHANNA D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician0102201741VA

General Provider Information

NPI Number : 1013966126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GINNY GUJRAL KHANNA D.O.
Provider Business Mailing Address
First Line : 2501 PARKERS LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2501 PARKERS LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-3209
Country : US
Telephone Number : 703-664-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/15/2012

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