Individual
MINAKSHI KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
176-60 UNION TPKE, SUITE 360, FRESH MEADOWS, NY 11366
(718) 460-2300
(718) 460-9697
Mailing address
176-60 UNION TPKE, SUITE 360, FRESH MEADOWS, NY 11366
(718) 460-2300
(718) 460-9697
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
010592
NY
363A00000X
Physician Assistant
010592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010592
NEW YORK STATE LICENSE
NY
Enumeration date
05/22/2008
Last updated
04/29/2009
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