MEDICARE: DR. GAURAV KHANNA MD

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	207R00000X	Internal Medicine Physician	35089734	OH
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.089734	OH
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	C167024	CA
4	207RP1001X	Pulmonary Disease Physician	35.089734	OH
5	207RP1001X	Pulmonary Disease Physician	C167024	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35.089734	OTHER	OH	STATE LICENSE
2	C167024	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1235319500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAURAV KHANNA MD

Provider Business Mailing Address
First Line	:	5585 SHANNON RIDGE LN
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-4810
Country	:	US
Telephone Number	:	443-824-3660
Fax Number	:	858-650-5039

Provider Business Practice Location Address
First Line	:	8008 FROST ST STE 401
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4209
Country	:	US
Telephone Number	:	858-650-5036
Fax Number	:	858-650-5039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	09/28/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1942225388 — ALFONSO CAMBEROS M.D., F.A.C.S.
Practice Location Address:

8008 FROST ST , STE 406
SAN DIEGO, CA
92123-4209

Practice Phone: 760-351-8669
Practice Fax: 760-351-8894

1245674001 — DR. WILLIAM FISHER M.D.
Practice Location Address:

8008 FROST ST STE 401
SAN DIEGO, CA
92123-4209

Practice Phone: 858-650-5037
Practice Fax:

1932547536 — DR. HASSAN JON AZIMI M.D.
Practice Location Address:

8008 FROST ST STE 403
SAN DIEGO, CA
92123-4209

Practice Phone: 858-715-9200
Practice Fax:

1366820540 — DR. SOUD SEDIQE I M.D.
Practice Location Address:

8008 FROST ST STE 401
SAN DIEGO, CA
92123-4209

Practice Phone: 858-309-5931
Practice Fax: 858-810-6908

1518589357 — HASSAN J AZIMI MD INC
Practice Location Address:

8008 FROST ST STE 403
SAN DIEGO, CA
92123-4209

Practice Phone: 858-715-9200
Practice Fax:

Directions to “ DR. GAURAV KHANNA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.