Rajan Khanna MD Apmc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L11987R Issued in LA

Legal business name

RAJAN KHANNA MD APMC

Practice address

1801 Fairfield Ave
Suite 303
Shreveport, LA 71101-4443

Phone

(318) 841-7932

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Lou A Sims

Title

Billing Clerk

Phone

(318) 671-1745

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Rajan Khanna, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1770581225
  Medicare reassignment NPD

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1790956068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6953",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711366953",
            "telephone_number": "318-841-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 303",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-841-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAN KHANNA MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "318-671-1745"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L11987R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688576",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Allen Rainwater, R.PH.
• Kelly White Rainwater, RPH
• Marvin Keith Rainwater, PA
• Sara E. Rainwater
• Margaret S Raish, N.P.
• Rajendra T Gandhi, MD, LLC
• Faryal F Rajput
• Neha Hanoman Rajput, MD
• Deepika Reddy Ralla, MD
• Krystle Rallins

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.