| Rajan Khanna Md Apmc | |
|
1801 Fairfield Ave Suite 303 Shreveport LA 71101-4443 | |
| (318) 841-7932 | |
| Not Available |
| Full Name | Rajan Khanna Md Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 Fairfield Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Lou A Sims (BILLING CLERK) |
| Authorized Official Contact | 3186711745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajan Khanna Md Apmc Po Box 6953 Shreveport LA 71136-6953 Ph: (318) 841-7932 | Rajan Khanna Md Apmc 1801 Fairfield Ave Suite 303 Shreveport LA 71101-4443 Ph: (318) 841-7932 |
| NPI Number | 1790956068 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 1557486198 |
|---|---|
| Medicare Enrollment ID | O20100920000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790956068 | NPI | - | NPPES |
| 1688576 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L11987R (Louisiana) | Primary |
| Provider Name | Rajan Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581225 PECOS PAC ID: 1456387299 Enrollment ID: I20050713000021 |
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