Provider Demographics
NPI:1528196623
Name:KHURANA, EKTA (MD)
Entity Type:Individual
Prefix:DR
First Name:EKTA
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 1:945 GOETHALS DR STE 310
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3552
Mailing Address - Country:US
Mailing Address - Phone:509-946-7332
Mailing Address - Fax:509-946-1995
Practice Address - Street 1:9521 SANDIFUR PKWY STE 2
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9105
Practice Address - Country:US
Practice Address - Phone:509-946-7332
Practice Address - Fax:509-946-1995
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046601174400000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist