Individual
TRILOK S KHANNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
Mailing address
615 FAIRHURST ST, STERLING, CO 80751-4564
(970) 547-8234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36038
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
04/07/2006
Last updated
07/08/2007
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