MEDICARE: SHEFALI KHANNA ACRA 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1356924583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEFALI KHANNA ACRA MD

Provider Business Mailing Address
First Line	:	701 GROVE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4210
Country	:	US
Telephone Number	:	864-455-5198
Fax Number	:	304-388-8238

Provider Business Practice Location Address
First Line	:	701 GROVE ROAD
Second Line	:	4TH FLOOR SUPPORT TOWER
City	:	GREENVILLE
State	:	SC
Zip	:	29605
Country	:	US
Telephone Number	:	864-455-5198
Fax Number	:	304-388-8238

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

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	02/18/2026

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