| Anuj Khanna, DO. PA. | |
|
1801 Se 1st Ave Ft Lauderdale FL 33316-2801 | |
| (954) 523-0106 | |
| Not Available |
| Full Name | Anuj Khanna, DO. PA. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 Se 1st Ave, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Anuj Khanna (PRESIDENT) |
| Authorized Official Contact | 9545230106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anuj Khanna, DO. PA. 1801 Se 1st Ave Fort Lauderdale FL 33316-2801 Ph: (954) 523-0106 | Anuj Khanna, DO. PA. 1801 Se 1st Ave Ft Lauderdale FL 33316-2801 Ph: (954) 523-0106 |
| NPI Number | 1225810120 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 6103275698 |
|---|---|
| Medicare Enrollment ID | O20231208002346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225810120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Anuj Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649809633 PECOS PAC ID: 7810346301 Enrollment ID: I20231208002586 |
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