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Individual

DR. RAJEEV KHANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21495 RIDGETOP CIR, SUITE 102, STERLING, VA 20166-6512
(571) 313-1980
(703) 444-3921
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056376
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609886712
VA
Enumeration date
08/09/2006
Last updated
09/05/2012
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