Individual
RYAN KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-5167
(219) 836-5249
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01092145A
IN
207T00000X
Neurological Surgery Physician
036149763
IL
207T00000X
Neurological Surgery Physician
125069015
IL
207T00000X
Neurological Surgery Physician
Primary
25MA12566600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103265638
ANTHEM
IN
05
—
300084355
—
IN
Enumeration date
02/09/2015
Last updated
05/05/2025
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