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Individual

ABHINAV KHANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 304-5990
(352) 304-5993
Mailing address
910 SW 1ST AVENUE, SUITE 201, OCALA, FL 34471-0904
(352) 304-5990
(352) 304-5993

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106871
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301090254
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14H7V
BCBS
FL
01
P00972954
RAILROAD MEDICARE
Enumeration date
07/13/2007
Last updated
06/26/2012
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