MEDICARE: DR. PREEYA KHANDGE BUCHANAN 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	2088P0231X	Pediatric Urology Physician	ME158107	FL

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	:	1447646443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PREEYA KHANDGE BUCHANAN M.D.

Provider Business Mailing Address
First Line	:	10140 CENTURION PKWY N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0532
Country	:	US
Telephone Number	:	516-697-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 CHILDRENS WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8426
Country	:	US
Telephone Number	:	904-697-3600
Fax Number	:	904-697-3927

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

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	01/14/2026

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