MEDICARE: DEEPAK 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	174400000X	Specialist	036-057728	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	100000663	OTHER	IL	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1427050327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEEPAK KHURANA M.D.

Provider Business Mailing Address
First Line	:	1710 N RANDALL RD
Second Line	:	SUITE 280
City	:	ELGIN
State	:	IL
Zip	:	60123-9400
Country	:	US
Telephone Number	:	847-931-7550
Fax Number	:	847-931-0876

Provider Business Practice Location Address
First Line	:	1710 N RANDALL RD
Second Line	:	SUITE 280
City	:	ELGIN
State	:	IL
Zip	:	60123-9400
Country	:	US
Telephone Number	:	847-931-7550
Fax Number	:	847-931-0876

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	01/02/2019

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