Individual
DR. TUSHAR KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR STE 301A, SOUTHFIELD, MI 48075-6211
(248) 849-3254
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD481430
PA
207RG0100X
Gastroenterology Physician
Primary
4301514012
MI
208M00000X
Hospitalist Physician
MD481430
PA
Other
Enumeration date
03/19/2019
Last updated
06/24/2025
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