DR. SUPREETI K KHURANA M.D. NPI 1124053384

NPI Information

  • NPI: 1124053384
  • Provider Name: DR. SUPREETI K KHURANA, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 770 PINE ST
    SIUTE 580
    MACON, GA
    ZIP 31201
  • Phone: (478) 746-1333

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NPI Details

DR. Supreeti K Khurana, M.D. is a gynecology obstetrics gynecology in Macon, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Supreeti K Khurana, M.D. NPI is 1124053384. 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:

770 PINE ST
SIUTE 580
MACON, GA
ZIP 31201-173
Phone: (478) 746-1333
Fax: (478) 746-0022

The NPI 1124053384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/28/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology039143GEORGIANo
2207VX0000XObstetrics & GynecologyObstetrics039143GEORGIANo
3207VG0400XObstetrics & GynecologyGynecology039143GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116BDTTLMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE PROVIDER #
2G43643MEDICARE UPINGEORGIA
3000720409JMEDICAIDGEORGIA

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: 11/21/2025

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