Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 25MA08747500 | NJ |
Y | 207RR0500X | Rheumatology | 25MA08747500 | NJ |
NPI | 1215195268 |
---|---|
Provider Name | Dr. Reena Khianey |
First Address | Newark, NJ 07103 |
Second Address | Newark, NJ 07103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 08/10/2015 |