Individual
ATUL KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 RANDOLPH ROAD, SUITE 208, CHARLOTTE, NC 28207-1200
(704) 377-4009
(423) 431-1811
Mailing address
13808 PROFESSIONAL CENTER DRIVE, HUNTERSVILLE, NC 28078-7948
(704) 377-4009
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2015-00681
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506887
—
TN
05
—
1740382233
—
VA
01
—
3714470
GROUP MEDICARE NUMBER
TN
05
—
4665893
—
MI
05
—
7100093950
—
KY
Enumeration date
09/04/2006
Last updated
06/17/2025
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