Khanna, Samrat Umesh

Khanna, Samrat Umesh is an individual health care provider with primary practice located at 500 N Wall St Ste C400 , Kankakee IL 60901-2942. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Khanna, Samrat Umesh can be contacted via phone (815) 933-3814.

Contact Information

Primary practice address
500 N Wall St Ste C400 Kankakee IL 60901-2942
Phone: (815) 933-3814
Fax: (815) 933-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036132687 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036132687 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036132687 Illinois

Profile Details

NPI number 1053629881
LBN Legal business name Khanna, Samrat Umesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated Mar 22nd, 2021 - about 3 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 1053629881 NPPES
Illinois MEDICAID 036132687

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