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Organization
UMA KHANNA, MD PA
Active
Organization
UMA KHANNA, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMA KHANNA MD (OWNER)
(954) 523-0106
Entity
Organization
Contact information
Practice address
1801 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2801
(954) 523-0106
(954) 525-0540
Mailing address
1801 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2801
(954) 523-0106
(954) 525-0540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME42945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048449100
—
FL
Enumeration date
04/23/2013
Last updated
04/23/2013
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