| Prerna Mona Khanna MD PC | |
|
1180 N Indian Canyon Dr Ste W200 Palm Springs CA 92262-4800 | |
| (214) 629-0339 | |
| (209) 579-5637 |
| Full Name | Prerna Mona Khanna MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1180 N Indian Canyon Dr, Palm Springs, California |
| Authorized Official Name and Position | Prerna Mona Khanna (OWNER/MD) |
| Authorized Official Contact | 2146290339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prerna Mona Khanna MD PC 80254 Jasper Park Ave Indio CA 92201-0821 Ph: (214) 629-0339 | Prerna Mona Khanna MD PC 1180 N Indian Canyon Dr Ste W200 Palm Springs CA 92262-4800 Ph: (214) 629-0339 |
| NPI Number | 1457718520 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/21/2016 |
| Medicare PECOS PAC ID | 7315240058 |
|---|---|
| Medicare Enrollment ID | O20160129001089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457718520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G75180 (California) | Primary |
| Provider Name | Prerna Mona Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841472826 PECOS PAC ID: 8224331962 Enrollment ID: I20160129001134 |
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