Individual
DR. PRAVIEN K . KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
75 VERONICA AVE, SUITE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
(732) 247-5119
Mailing address
75 VERONICA AVE, SUITE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
(732) 247-5119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09252100
NJ
207RC0000X
Cardiovascular Disease Physician
25MA09252100
NJ
207RC0000X
Cardiovascular Disease Physician
264703-1
NY
207RI0011X
Interventional Cardiology Physician
Primary
25MA09252100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422088
—
NJ
Enumeration date
01/24/2008
Last updated
04/22/2024
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