Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 240329 | MA |
N | 111NI0900X | Internist | 240329 | MA |
N | 207R00000X | Internist | 32512 | OK |
N | 111NI0900X | Internist | 32512 | OK |
Y | 207RC0000X | Internist - Cardiovascular Disease | 32512 | OK |
NPI | 1013144799 |
---|---|
Provider Name | Varun Khanna |
First Address | Oklahoma City, OK 73132-3385 |
Second Address | Oklahoma City, OK 73120-8382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 09/11/2020 |