Individual
DR. PRASHANT KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5880
(859) 578-5881
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
RR7990
IA
208600000X
Surgery Physician
40787
IA
2086S0102X
Surgical Critical Care Physician
Primary
55958
KY
2086S0102X
Surgical Critical Care Physician
TP202
KY
Other
Enumeration date
12/19/2007
Last updated
09/17/2021
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