Doctor Name: | ABHINAV KHANNA |
NPI Number: | 1477752137 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301090254 |
Business Practice Address: | 1431 Sw 1st Ave Ocala, FL - 344716500 |
Business Phone Number: | 3523045990 |
Business Fax Number: | 3523045993 |
Mailing Address: | 910 Sw 1st Avenue, Suite 201 OCALA |
State: | FL |
Postal Code: | 344710904 |
Phone Number: | 3523045990 |
Fax Number: | 3523045993 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301090254 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |