Individual
DR. SANDEEP K. KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A54249
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
A54249
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A54249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A542490
BLUE SHIELD OF CA
CA
05
—
00A542490
—
CA
Enumeration date
07/10/2006
Last updated
02/24/2026
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