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1558326207

NPI Code Detail

MEDICARE: DR. SANDEEP KHURANA MBBS

MEDICARE: DR. SANDEEP KHURANA MBBS

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	207RG0100X	Gastroenterology Physician	D63114	MD
2	207RI0008X	Hepatology Physician	D63114	MD
3	207RG0100X	Gastroenterology Physician	MD459564	PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	646902-01	OTHER	MD	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1558326207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDEEP KHURANA MBBS

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-2111
Country	:	US
Telephone Number	:	570-271-6439
Fax Number	:	570-271-6852

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	06/11/2020

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Directions to “ DR. SANDEEP KHURANA MBBS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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