Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 21318 | AZ |
NPI | 1053385765 |
---|---|
Provider Name | Parvinderjit S Khanuja |
First Address | Chandler, AZ 85246-6423 |
Second Address | Chandler, AZ 85224-5665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 01/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
133033 | AHCCCS (01) | |
830008238 | RAILROAD MEDICARE (01) | AZ |
F54216 | (02) |