Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 040556 | CT |
N | 111NI0900X | Internist | 040556 | CT |
Y | 207R00000X | Internist | 42379 | CO |
Y | 111NI0900X | Internist | 42379 | CO |
N | 207RG0300X | Geriatric Medicine | 42379 | CO |
NPI | 1124062427 |
---|---|
Provider Name | Dr. Sukhjinder Khera |
First Address | Aurora, CO 80014-1618 |
Second Address | Denver, CO 80247-1314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023156 | KAISER COMMERCIAL NUMBER (01) | CO |
56007540 | (05) | CO |
H71754 | (02) | CO |
P00136077 | RAILROAD MEDICARE (01) | CO |