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POONAM KHANNA D.O. NPI 1306996434


NPI Information

NPI: 1306996434
Provider Name: POONAM KHANNA, D.O.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
14221 METCALF AVE
SUITE 123
OVERLAND PARK, KS
ZIP 66223
Phone: (913) 912-7054
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Poonam Khanna, D.O. is a child and adolescent psychiatry psychiatry neurology in Overland Park, KS. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Poonam Khanna, D.O. NPI is 1306996434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14221 METCALF AVE
SUITE 123
OVERLAND PARK, KS
ZIP 66223-344
Phone: (913) 912-7054

The enumeration date for this NPI number is 1/11/2007 and was last updated on 1/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry05-29535KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H63985MEDICARE UPIN
231650014OTHERMISSOURIBCBS KC
3245887708OTHERMISSOURIMO MEDICAID
4260050357OTHERRR MEDICARE
5061B864AMEDICARE ID-TYPE UNSPECIFIED
6100421600AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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