Provider Demographics
NPI:1023391208
Name:KHURANA, SIMRAN (MD)
Entity Type:Individual
Prefix:
First Name:SIMRAN
Middle Name:
Last Name:KHURANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 PASADENA AVE S
Mailing Address - Street 2:SUITE 2N
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-4565
Mailing Address - Country:US
Mailing Address - Phone:727-580-3719
Mailing Address - Fax:941-746-4111
Practice Address - Street 1:1609 PASADENA AVE S
Practice Address - Street 2:SUITE 2N
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-4565
Practice Address - Country:US
Practice Address - Phone:727-580-3719
Practice Address - Fax:941-746-4111
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443180207R00000X
FLME120342207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine