Shiv C Khanna MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0054004 Issued in MD

Legal business name

SHIV C KHANNA MD PA

Practice address

214 Paca St Ste B
Cumberland, MD 21502-2844

Phone

(301) 729-2226

Fax

(301) 729-1425

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shiv C Khanna, M.D.NPI 1538241153

Title

President

Phone

(301) 729-2226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• Shiv C Khanna, MD

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1538241153
  Medicare reassignment NPD Authorized official
• Sunil Kumar Gupta, MD

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1093886657
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1497935936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PACA ST STE B",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022844",
            "telephone_number": "301-729-2226",
            "fax_number": "301-729-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PACA ST STE B",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022844",
            "telephone_number": "301-729-2226",
            "fax_number": "301-729-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIV C KHANNA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "SHIV",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-729-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Anesthesia Services of Maryland, PC
• Susan Starr Shern, RPH
• Thomas Charles Shern, RPH
• Tonya Sherrill, MSRDLD
• Bethany J Shifflett, LCPC
• Cindy Shockey-Smith, LCADC
• Lawrence P. Shombert, MD
• Julia Mae Show, CRNP
• Suresh M Shrestha, M.D.
• Kristin Dawn Shreve, MS, LCPC

• Internal Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.