Individual
ANEETA R KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-7700
(740) 374-7701
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.138377
OH
207R00000X
Internal Medicine Physician
4301078556
MI
207R00000X
Internal Medicine Physician
Primary
61792
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4796868
—
MI
Enumeration date
01/25/2006
Last updated
09/18/2024
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