Individual
RAJAN KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-7766
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(630) 956-0280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125078637
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2020
Last updated
10/13/2021
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