| Sudhir K. Khanna, M.d., P.c. | |
|
239 W Commerce St Shamokin PA 17872-5357 | |
| (570) 644-0178 | |
| (570) 644-5198 |
| Full Name | Sudhir K. Khanna, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 W Commerce St, Shamokin, Pennsylvania |
| Authorized Official Name and Position | Mary L Hollingshead (OFFICE MANAGER) |
| Authorized Official Contact | 5706440178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir K. Khanna, M.d., P.c. 239 W Commerce St Shamokin PA 17872-5357 Ph: (570) 644-0178 | Sudhir K. Khanna, M.d., P.c. 239 W Commerce St Shamokin PA 17872-5357 Ph: (570) 644-0178 |
| NPI Number | 1417913617 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 02/24/2010 |
| Medicare PECOS PAC ID | 2365426699 |
|---|---|
| Medicare Enrollment ID | O20040615001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417913617 | NPI | - | NPPES |
| 0012673460006 | Medicaid | PA | |
| 111925658 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD034730L (Pennsylvania) | Primary |
| Provider Name | Sudhir K Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892583 PECOS PAC ID: 0648365734 Enrollment ID: I20100929001256 |
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