Khanna, Dheeraj

Khanna, Dheeraj is an individual health care provider with primary practice located at 370 East Main Street Suite 5, Bay Shore NY 11706. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Khanna, Dheeraj can be contacted via phone (631) 666-5864.

Contact Information

Primary practice address
370 East Main Street Suite 5 Bay Shore NY 11706
Phone: (631) 666-5864
Fax: (631) 666-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 209858 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 209858 New York
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 209858 New York

Profile Details

NPI number 1235204207
LBN Legal business name Khanna, Dheeraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235204207 NPPES
New York MEDICAID 02269941

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