Khanuja, Ravdeep S
Khanuja, Ravdeep S is an individual health care provider with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Khanuja, Ravdeep S can be contacted via phone (573) 686-1200.Contact Information
Primary practice address
3001 Warrior Ln
Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax: (573) 686-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 118304 | Missouri |
Profile Details
| NPI number | 1750433256 |
|---|---|
| LBN Legal business name | Khanuja, Ravdeep S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Mar 17th, 2022 - about 2 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 | 1750433256 | NPPES |
| Missouri | MEDICAID | 204746812 |
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