# ANEETA R KHANNA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245536481
- **Authorized official:** DR. ANEETA R KHANNA M.D (MEDICAL DOCTOR)
- **Authorized official phone:** (586) 772-6610

## Contact information

- **Practice address:** 20914 KELLY RD, EASTPOINTE, MI 48021-3136
- **Practice address phone:** (586) 772-6610
- **Practice address fax:** (586) 772-2027
- **Mailing address:** 20914 KELLY RD, EASTPOINTE, MI 48021-3136
- **Mailing address phone:** (586) 772-6610
- **Mailing address fax:** (586) 772-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301078556 | MI | Yes |

## Other

- **Enumeration date:** 02/06/2011
- **Last updated:** 04/19/2012