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NPI Code Detail

MEDICARE: ANIL KHURANA MD

MEDICARE: ANIL KHURANA 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
1207RP1001XPulmonary Disease Physician433WI
2207RP1001XPulmonary Disease Physician36067602IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110191419OTHERILRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
304923125OTHERILBLUE CROSS/SHIELD

General Provider Information

NPI Number : 1467433169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANIL KHURANA MD
Provider Business Mailing Address
First Line : 252 MCHENRY ST STE 140
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-1828
Country : US
Telephone Number : 262-767-6000
Fax Number :
Provider Business Practice Location Address
First Line : 252 MCHENRY ST STE 140
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-1828
Country : US
Telephone Number : 262-767-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 08/05/2019

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