Provider Demographics
NPI:1548419187
Name:KHERANI, JENNIFER FAL (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FAL
Last Name:KHERANI
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 1:1965 BROADWAY
Mailing Address - Street 2:APARTMENT 9J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5928
Mailing Address - Country:US
Mailing Address - Phone:917-892-8495
Mailing Address - Fax:
Practice Address - Street 1:525 EAST 68TH STREET MAILBOX 301
Practice Address - Street 2:NEW YORK PRESBYTERIAN- CORNELL WEILL MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-1101
Practice Address - Country:US
Practice Address - Phone:917-892-8495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYAN1865243207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine