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Organization

SHIV C KHANNA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHIV C KHANNA M.D. (PRESIDENT)
(301) 729-2226
Entity
Organization

Contact information

Practice address
214 PACA ST STE B, CUMBERLAND, MD 21502-2844
(301) 729-2226
(301) 729-1425
Mailing address
214 PACA ST STE B, CUMBERLAND, MD 21502-2844
(301) 729-2226
(301) 729-1425

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054004
MD

Other

Enumeration date
11/13/2007
Last updated
11/13/2015
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