Individual
DR. KANWAL KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 COLLEGE AVE, SUITE M, MODESTO, CA 95350-4057
(209) 524-2041
(209) 524-2394
Mailing address
1429 COLLEGE AVE, SUITE M, MODESTO, CA 95350-4057
(209) 524-2041
(209) 524-2394
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G58069
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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