Individual
RAJ K KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Mailing address
1600 MEDICAL CENTER DR STE 2500, HUNTINGTON, WV 25701-3657
(304) 691-1200
(304) 691-1287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3526
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3526
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330294
—
OH
05
—
4002154000
—
WV
05
—
60001526
—
KY
Enumeration date
03/25/2006
Last updated
01/23/2026
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