# SHIV C KHANNA MD PA

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

## Provider details

- **NPI number:** 1497935936
- **Authorized official:** DR. SHIV C KHANNA M.D. (PRESIDENT)
- **Authorized official phone:** (301) 729-2226

## Contact information

- **Practice address:** 214 PACA ST STE B, CUMBERLAND, MD 21502-2844
- **Practice address phone:** (301) 729-2226
- **Practice address fax:** (301) 729-1425
- **Mailing address:** 214 PACA ST STE B, CUMBERLAND, MD 21502-2844
- **Mailing address phone:** (301) 729-2226
- **Mailing address fax:** (301) 729-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0054004 | MD | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 11/13/2015