MEDICARE: DR. MOHAN SINGH KHURANA 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
1	207RH0003X	Hematology & Oncology Physician	ME27717	FL

General Provider Information

NPI Number	:	1316920093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAN SINGH KHURANA M.D.

Provider Business Mailing Address
First Line	:	130 S INDIANA AVE
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34223-3301
Country	:	US
Telephone Number	:	941-474-9449
Fax Number	:	941-474-4400

Provider Business Practice Location Address
First Line	:	130 S INDIANA AVE
Second Line	:
City	:	ENGLEWOOD
State	:	FL
Zip	:	34223-3301
Country	:	US
Telephone Number	:	941-474-9449
Fax Number	:	941-474-4400

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

Provider Enumeration Date	:	11/27/2005
Last Update Date	:	07/08/2007

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