Individual
DR. DINESH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP A, ANN ARBOR, MI 48105-5370
(734) 647-5900
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-076358
OH
207R00000X
Internal Medicine Physician
4301098337
MI
207R00000X
Internal Medicine Physician
A70683
CA
207RR0500X
Rheumatology Physician
35-076358
OH
207RR0500X
Rheumatology Physician
Primary
4301098337
MI
207RR0500X
Rheumatology Physician
A70683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494850
—
IN
05
—
2506210
—
OH
05
—
64088883
—
KY
Enumeration date
04/26/2006
Last updated
09/13/2012
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