Individual
DR. RAJAN KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 230, SHREVEPORT, LA 71105-5714
(318) 841-7932
(318) 841-7935
Mailing address
PO BOX 6953, SHREVEPORT, LA 71136-6953
(318) 841-7932
(318) 841-7935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L11987R
LA
207R00000X
Internal Medicine Physician
Primary
MD.11987R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688576
—
LA
Enumeration date
07/08/2005
Last updated
08/10/2021
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