Khurana, Supreeti K

Khurana, Supreeti K is an individual health care provider with primary practice located at 770 Pine St Siute 580, Macon GA 31201-2173. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Khurana, Supreeti K can be contacted via phone (478) 746-1333.

Contact Information

Primary practice address
770 Pine St Siute 580 Macon GA 31201-2173
Fax: (478) 746-0022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 039143 Georgia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 039143 Georgia
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 039143 Georgia

Profile Details

NPI number 1124053384
LBN Legal business name Khurana, Supreeti K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 28th, 2014 - about 10 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 1124053384 NPPES
Georgia MEDICAID 000720409J

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