| Mira Kheny Md Llc | |
|
6650 Browning Rd Suite M21 Pennsauken NJ 08109-1479 | |
| (856) 910-8100 | |
| (856) 910-8101 |
| Full Name | Mira Kheny Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6650 Browning Rd, Pennsauken, New Jersey |
| Authorized Official Name and Position | Mira Kheny (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8569108100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Kheny Md Llc Po Box 1077 Voorhees NJ 08043-7077 Ph: (856) 910-8100 | Mira Kheny Md Llc 6650 Browning Rd Suite M21 Pennsauken NJ 08109-1479 Ph: (856) 910-8100 |
| NPI Number | 1598068744 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04506900 (New Jersey) | Primary |
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