Individual
ANISH K KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 SW 1ST AVE, SUITE 201, OCALA, FL 34471-0904
(352) 304-5990
(352) 304-5993
Mailing address
910 SW 1ST AVE, SUITE 201, OCALA, FL 34471-0904
(352) 304-5990
(352) 304-5993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
225438
NY
207R00000X
Internal Medicine Physician
Primary
ME99354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616900
—
FL
05
—
02353120
—
NY
01
—
29301
BCBS
FL
01
—
99267
BCBS
FL
01
—
P00617598
MEDICARE RAILROAD
FL
Enumeration date
06/02/2006
Last updated
08/18/2011
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