Individual
MUKUL KRISHAN KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 MAITLAND AVE STE 116, ALTAMONTE SPRINGS, FL 32701-4913
(407) 915-5643
(407) 960-2602
Mailing address
PO BOX 940145, MAITLAND, FL 32794-0145
(407) 915-5643
(407) 960-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120684
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME120684
FL
Other
Enumeration date
05/25/2011
Last updated
03/22/2021
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