Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 35.094661 | OH |
Y | 207RR0500X | Rheumatology | C171517 | CA |
NPI | 1124220157 |
---|---|
Provider Name | Dr. Surabhi Agarwal Khanna |
First Address | Chula Vista, CA 91911-6600 |
Second Address | Cincinnati, OH 45213-2674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 22/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200985460 | (05) | IN |
3029092 | (05) | OH |
7100124300 | (05) | KY |