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Organization
SUDHIR K. KHANNA, M.D., P.C.
Active
Organization
SUDHIR K. KHANNA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L HOLLINGSHEAD (OFFICE MANAGER)
(570) 644-0178
Entity
Organization
Contact information
Practice address
239 W COMMERCE ST, SHAMOKIN, PA 17872-5357
(570) 644-0178
(570) 644-5198
Mailing address
239 W COMMERCE ST, SHAMOKIN, PA 17872-5357
(570) 644-0178
(570) 644-5198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034730L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012673460006
—
PA
01
—
111925658
RAILROAD MEDICARE
PA
Enumeration date
04/25/2006
Last updated
02/24/2010
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