MEDICARE: NEHA KHANNA DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	006792	NY

General Provider Information

NPI Number	:	1437492162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA KHANNA DPM

Provider Business Mailing Address
First Line	:	11 TUXEDO AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 HILLSIDE AVE STE 100
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-2501
Country	:	US
Telephone Number	:	212-767-9591
Fax Number	:

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

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	03/19/2026

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