Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 256878 | NY |
N | 207X00000X | Orthopaedic Surgeon | 44263 | AZ |
N | 207X00000X | Orthopaedic Surgeon | 57010738 | OH |
Y | 207X00000X | Orthopaedic Surgeon | MD.310204 | LA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 44263 | AZ |
NPI | 1346451648 |
---|---|
Provider Name | Oner Ali Khera |
First Address | Shreveport, LA 71101-3910 |
Second Address | Shreveport, LA 71115-2333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4Z0124 | HEALTHNET (01) | AZ |
620942 | (05) | AZ |