Individual
RAVI C. KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 W NORTH ST, SPRINGFIELD, OH 45504-2547
(937) 323-5001
(937) 323-5413
Mailing address
148 W NORTH ST, SPRINGFIELD, OH 45504-2547
(937) 323-5001
(937) 323-5413
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35040509K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399153
—
OH
Enumeration date
08/02/2005
Last updated
11/04/2014
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