Individual
ANIL KHURANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 MCHENRY ST STE 140, BURLINGTON, WI 53105-1828
(262) 767-6000
Mailing address
252 MCHENRY ST STE 140, BURLINGTON, WI 53105-1828
(262) 767-6000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
36067602
IL
207RP1001X
Pulmonary Disease Physician
Primary
433
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067602
—
IL
01
—
04923125
BLUE CROSS/SHIELD
IL
01
—
110191419
RAIL ROAD MEDICARE
IL
Enumeration date
11/09/2005
Last updated
08/05/2019
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