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NPI Code Detail

MEDICARE: MRS. SONYA M KHILNANI PH.D

MEDICARE: MRS. SONYA M KHILNANI PH.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
1103TC0700XClinical PsychologistPY6340FL
2103TS0200XSchool PsychologistPY6340FL
3103T00000XPsychologistPY6340FL

Other Identifiers

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

General Provider Information

NPI Number : 1497924781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONYA M KHILNANI PH.D
Provider Business Mailing Address
First Line : 19515 SW 78TH PL
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7509
Country : US
Telephone Number : 305-969-8280
Fax Number :
Provider Business Practice Location Address
First Line : 3349 N UNIVERSITY DR
Second Line : SUITE 4
City : HOLLYWOOD
State : FL
Zip : 33024-9000
Country : US
Telephone Number : 954-885-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 12/26/2018

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