Organization
RAJAN KHANNA MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU A SIMS (BILLING CLERK)
(318) 671-1745
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 303, SHREVEPORT, LA 71101-4443
(318) 841-7932
Mailing address
PO BOX 6953, SHREVEPORT, LA 71136-6953
(318) 841-7932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L11987R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688576
—
LA
Enumeration date
03/14/2008
Last updated
03/14/2008
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