| Shiv C Khanna MD PA | |
|
214 Paca St Ste B Cumberland MD 21502-2844 | |
| (301) 729-2226 | |
| (301) 729-1425 |
| Full Name | Shiv C Khanna MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 Paca St Ste B, Cumberland, Maryland |
| Authorized Official Name and Position | Shiv C Khanna (PRESIDENT) |
| Authorized Official Contact | 3017292226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiv C Khanna MD PA 214 Paca St Ste B Cumberland MD 21502-2844 Ph: (301) 729-2226 | Shiv C Khanna MD PA 214 Paca St Ste B Cumberland MD 21502-2844 Ph: (301) 729-2226 |
| NPI Number | 1497935936 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 3971639410 |
|---|---|
| Medicare Enrollment ID | O20100412000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497935936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0054004 (Maryland) | Primary |
| Provider Name | Shiv C Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538241153 PECOS PAC ID: 3870629314 Enrollment ID: I20100415000014 |
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