Individual
DR. PARVEEN KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10250 NORMANDY BLVD, SUITE 703, JACKSONVILLE, FL 32221-8059
(904) 495-7200
(904) 495-7199
Mailing address
10250 NORMANDY BLVD, SUITE 703, JACKSONVILLE, FL 32221-8059
(904) 495-7200
(904) 495-7199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME87424
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME87424
FL
208VP0014X
Interventional Pain Medicine Physician
ME87424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267353300
—
FL
01
—
618395500
WORKERS COMPENSATION
FL
05
—
693345854B
—
GA
01
—
71351
BLUECROSSBLUESHIELD
FL
Enumeration date
12/07/2005
Last updated
01/25/2017
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