MEDICARE: MOHAN S KHURANA MD PA

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
1	207RH0003X	Hematology & Oncology Physician	ME27717	FL

General Provider Information

NPI Number	:	1205030764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAN S KHURANA MD PA

Provider Business Mailing Address
First Line	:	1081 BAYSHORE DR
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34223-2302
Country	:	US
Telephone Number	:	941-473-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 S INDIANA AVE STE A
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34223-3301
Country	:	US
Telephone Number	:	941-473-3303
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MOHAN SINGH KHURANA
Credential	:	M.D.
Telephone Number	:	941-473-3303

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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