Individual
DR. AVINASH KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-5941
(863) 284-5199
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME93506
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME93506
FL
Other
Enumeration date
10/25/2005
Last updated
09/18/2022
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