Khanna, Poonam
Khanna, Poonam is an individual health care provider with primary practice located at 14221 Metcalf Ave Suite 123, Overland Park KS 66223-3344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Khanna, Poonam can be contacted via phone (913) 912-7054.Contact Information
Primary practice address
14221 Metcalf Ave Suite 123
Overland Park KS 66223-3344
Phone: (913) 912-7054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 05-29535 | Kansas |
Profile Details
| NPI number | 1306996434 |
|---|---|
| LBN Legal business name | Khanna, Poonam |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jan 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306996434 | NPPES |
| Other | 260050357 | RR MEDICARE | |
| Other | 31650014 | RR MEDICARE | |
| MEDICAID | 100421600A | RR MEDICARE | |
| Other | 245887708 | RR MEDICARE |
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