Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | C1-0012031 | DE |
N | 207P00000X | Emergency Physician | D0061099 | MD |
Y | 207QA0401X | Family Doctor - Addiction Medicine | C1-0012031 | DE |
NPI | 1326018060 |
---|---|
Provider Name | Sughanda Khanna |
First Address | Harrington, DE 19952-2448 |
Second Address | Harrington, DE 19952-2448 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 12/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
405027400 | (05) | MD |
H75833 | (02) |