Sudhir K. Khanna, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD034730L Issued in PA

Legal business name

SUDHIR K. KHANNA, M.D., P.C.

Practice address

239 W Commerce St
Shamokin, PA 17872-5357

Phone

(570) 644-0178

Fax

(570) 644-5198

NPI assigned

Apr 25, 2006

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary L Hollingshead

Title

Office Manager

Phone

(570) 644-0178

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudhir Kumar Khanna, M.D.

  • Internal Medicine Physician
  • Shamokin, PA
  • NPI 1801892583
  Medicare reassignment NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1417913617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W COMMERCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725357",
            "telephone_number": "570-644-0178",
            "fax_number": "570-644-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W COMMERCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725357",
            "telephone_number": "570-644-0178",
            "fax_number": "570-644-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR K. KHANNA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSHEAD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-644-0178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034730L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012673460006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "111925658",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Theresa Stout, PT
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• Victory Treatment Group LLC
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• Internal Medicine Physician in Shamokin, PA
• Providers in Shamokin, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.