| Khanna Nephrology, L.l.c. | |
|
401 Ridgewood Ave Glen Ridge NJ 07028-1512 | |
| (973) 748-6470 | |
| (973) 748-1834 |
| Full Name | Khanna Nephrology, L.l.c. |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 401 Ridgewood Ave, Glen Ridge, New Jersey |
| Authorized Official Name and Position | Priya Khanna (DO/OWNER) |
| Authorized Official Contact | 9737486470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khanna Nephrology, L.l.c. 401 Ridgewood Ave Glen Ridge NJ 07028-1512 Ph: (973) 748-6470 | Khanna Nephrology, L.l.c. 401 Ridgewood Ave Glen Ridge NJ 07028-1512 Ph: (973) 748-6470 |
| NPI Number | 1548590698 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548590698 | NPI | - | NPPES |
| 0174441 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB08049900 (New Jersey) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MB08049900 (New Jersey) | Primary |
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