Individual
RAMAN KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45301
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083645410
—
WI
05
—
34332100
—
WI
01
—
P00449627
RR MEDICARE
WI
Enumeration date
07/05/2006
Last updated
06/25/2020
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