Organization
KANWAL KHANNA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANWAL KHANNA M.D. (OWNER)
(209) 524-2041
Entity
Organization
Contact information
Practice address
1429 COLLEGE AVE, SUITE M, MODESTO, CA 95350-4057
(209) 524-2041
(209) 524-2394
Mailing address
1429 COLLEGE AVENUE, SUITE M, MODESTO, CA 95350-4046
(209) 524-2041
(209) 524-2394
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G58069
CA
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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