Provider Demographics
NPI:1255499406
Name:KHURANA, HARPREET (MD)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:
Last Name:KHURANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HARPREET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:496 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5012
Mailing Address - Country:US
Mailing Address - Phone:631-360-6649
Mailing Address - Fax:631-360-6657
Practice Address - Street 1:496 SMITHTOWN BYPASS
Practice Address - Street 2:SUITE 307
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5012
Practice Address - Country:US
Practice Address - Phone:631-360-6649
Practice Address - Fax:631-360-6657
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2009892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G70512Medicare UPIN
17B541Medicare ID - Type Unspecified