Individual
DR. SANJAY V KHEMKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 452-2077
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 452-2077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-5800
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175623001
—
AR
01
—
5H253
ARK BLUE CROSS BLUE SHIELD PROVIDER #
AR
Enumeration date
08/23/2006
Last updated
03/07/2023
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