Individual
DR. SANDEEP KHURANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 PRAIRIE ST SW, SUITE 112, GRANDVILLE, MI 49418-2097
(616) 780-7015
(866) 966-9677
Mailing address
3181 PRAIRIE ST SW, SUITE 112, GRANDVILLE, MI 49418-2097
(616) 780-7015
(866) 966-9677
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301053818
MI
207RI0011X
Interventional Cardiology Physician
4301053818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0603410481
BCBS
MI
05
—
1720063787
—
MI
Enumeration date
12/13/2005
Last updated
09/20/2012
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