Individual
PUJA P KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP A, ANN ARBOR, MI 48109-5370
(734) 647-5900
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097995
MI
207R00000X
Internal Medicine Physician
57.009161
OH
207RR0500X
Rheumatology Physician
Primary
4301097995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.009161
TRAINING CERTIFICATE
OH
01
—
A98601
MEDICAL BOARD
CA
Enumeration date
10/16/2006
Last updated
09/15/2011
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