Individual
JESSICA KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1702 NORTH BURNSIDE AVE, BATON ROUGE, LA 70769
(225) 647-4988
Mailing address
336 W GREENS DR, BATON ROUGE, LA 70810-8947
(817) 683-2599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204885
LA
Other
Enumeration date
04/25/2008
Last updated
12/11/2013
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