Individual
DR. PRADEEP KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6015 118TH ST, JACKSONVILLE, FL 32244-3703
(904) 633-0610
(904) 633-0611
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 633-0610
(904) 633-0611
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
020577
PR
208D00000X
General Practice Physician
Primary
ACN514
FL
Other
Enumeration date
08/26/2013
Last updated
10/06/2023
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