Individual
DR. SANJIV K KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Mailing address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35076082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126859
ANTHEM
—
01
—
0400049
UNITED HEALTHCARE
—
01
—
100013229
RAILROAD MEDICARE
—
01
—
100238
KAISER
—
05
—
2177960
—
OH
01
—
2217260
AETNA
—
Enumeration date
01/22/2007
Last updated
05/12/2020
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