Individual
ANURADHA KHANNA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
2160 S FIRST AVE, 101 1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36087985
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36087985
—
IL
Enumeration date
02/15/2006
Last updated
07/08/2007
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