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NPI Code Detail

MEDICARE: NINA KAUR KHANGURA M.D.

MEDICARE: NINA KAUR KHANGURA M.D.
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
1207R00000XInternal Medicine PhysicianA138779CA

General Provider Information

NPI Number : 1023372059
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA KAUR KHANGURA M.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number : 916-733-3304
Fax Number : 916-733-5383
Provider Business Practice Location Address
First Line : 8220 WYMARK DR
Second Line : SUITE 200
City : ELK GROVE
State : CA
Zip : 95757-6297
Country : US
Telephone Number : 916-691-8500
Fax Number : 916-691-8599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 12/27/2021

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