Khiani, Sanjay J

Khiani, Sanjay J is an sole proprietor health care provider with primary practice located at 10370 Park Rd Suite 202, Charlotte NC 28210-8508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Khiani, Sanjay J can be contacted via phone (704) 817-2022.

Contact Information

Primary practice address
10370 Park Rd Suite 202 Charlotte NC 28210-8508
Phone: (704) 817-2022
Fax: (704) 817-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 51918 Wisconsin
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 41230 Kentucky
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2012-00056 North Carolina

Profile Details

NPI number 1063605293
LBN Legal business name Khiani, Sanjay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063605293 NPPES
Wisconsin MEDICAID 35337600
Wisconsin MEDICAID 200874570
Wisconsin MEDICAID 200340800
Wisconsin Other 000000541483
Wisconsin Other 9454082

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