Supreeti K Khurana, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

039143 Issued in GA

Practice address

770 Pine St
Siute 580
Macon, GA 31201-2173

Phone

(478) 746-1333

Fax

(478) 746-0022

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1124053384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27690",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312217690",
            "telephone_number": "478-746-1333",
            "fax_number": "478-746-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST",
            "address_2": "SIUTE 580",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012173",
            "telephone_number": "478-746-1333",
            "fax_number": "478-746-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SUPREETI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "039143",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "039143",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "039143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720409J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Umar Hayat Khan, MD
• Raja Muhammad Khan, M.D.
• Ahmad Nauman Khawaja, DO
• Neha Khorana, PHD
• Lara Michelle Khoury
• Hajra Khurshid, MD
• Kidney Center of Central Georgia, LLC
• Kidney Dialysis Center, LLC
• Priscilla Hope Kilgore, FNP-C
• Jiwoo Kim, MD

• Gynecology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.