Individual
RAMESH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 HITT ST, DC056.20, COLUMBIA, MO 65212-6521
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R4D01
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102520
HEALTHLINK
MO
05
—
201870318
—
MO
01
—
2086333301
KANSAS MEDICAID
KS
01
—
25127
BLUE SHIELD/BLUE CHOICE
MO
01
—
3104004
UNITED HEALTHCARE
MO
Enumeration date
05/09/2006
Last updated
09/02/2022
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