Prerna Mona Khanna MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G75180 Issued in CA

Legal business name

PRERNA MONA KHANNA MD PC

Practice address

1180 N Indian Canyon Dr
Ste W200
Palm Springs, CA 92262-4800

Phone

(214) 629-0339

Fax

(209) 579-5637

NPI assigned

Jan 20, 2016

Organization subpart

No

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

Authorized official

Name

Prerna Mona Khanna, MD PCNPI 1841472826

Title

Owner/MD

Phone

(214) 629-0339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prerna Mona Khanna, MD

  • Occupational Medicine Physician
  • Palm Springs, CA
  • NPI 1841472826

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1457718520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80254 JASPER PARK AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922010821",
            "telephone_number": "214-629-0339",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "STE W200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "214-629-0339",
            "fax_number": "209-579-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRERNA MONA KHANNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "PRERNA",
        "authorized_official_middle_name": "MONA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "214-629-0339",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Prack, LCSW
• Premier Care Center
• Premier Surgical Assoc Palm Springs Inc
• Premier Urgent Care Centers of California, Inc
• Mirjana Preocanin
• Arlene Penny Price Snyder, PHARMD
• Vashaun William Price
• Morgan Seth Pricer, RADT, CMT
• Sofia Castaneda Prieto, MFT
• Primary Critical Care Limited Partnership

• Internal Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.