Individual
DR. IRA KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
425 W 59TH ST, NEW YORK, NY 10019-8022
(212) 523-5900
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
(646) 605-8186
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
306410
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
03/16/2022
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