Individual
DR. PAWANDEEP SINGH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 ORCHARD GRV, MONROE TOWNSHIP, NJ 08831-2371
(848) 248-7355
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101247832
VA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08198600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264598
—
NJ
Enumeration date
05/24/2007
Last updated
11/15/2019
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