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NPI Code Detail

MEDICARE: DR. NARESH KUMAR KHANNA M.D.

MEDICARE:  DR. NARESH KUMAR KHANNA  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
1208600000XSurgery PhysicianD 27411MD
2208600000XSurgery PhysicianMD 026300 EPA
3208D00000XGeneral Practice PhysicianD 27411MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154437150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NARESH KUMAR KHANNA M.D.
Provider Business Mailing Address
First Line : 901 EASTERN BLVD
Second Line :
City : BALTIMORE
State : MD
Zip : 21221-3416
Country : US
Telephone Number : 410-391-8300
Fax Number : 410-391-8377
Provider Business Practice Location Address
First Line : 901 EASTERN BLVD
Second Line :
City : BALTIMORE
State : MD
Zip : 21221-3416
Country : US
Telephone Number : 410-391-8300
Fax Number : 410-391-8377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 04/12/2011

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