Individual
DR. ANIRUDH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
687 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1713
(908) 979-1302
(908) 979-1493
Mailing address
687 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1713
(908) 979-1302
(908) 979-1493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07069400
NJ
207RC0000X
Cardiovascular Disease Physician
25MA07069400
NJ
207RC0000X
Cardiovascular Disease Physician
MA70694
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA07069400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07069400
STATE LIC NUMBER
NJ
05
—
8302405
—
NJ
Enumeration date
10/24/2006
Last updated
09/17/2025
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