Provider Demographics
NPI:1770509176
Name:KHURANA, LIVLEEN NEEL (DC)
Entity Type:Individual
Prefix:DR
First Name:LIVLEEN
Middle Name:NEEL
Last Name:KHURANA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-2047
Mailing Address - Country:US
Mailing Address - Phone:702-658-7246
Mailing Address - Fax:702-434-2226
Practice Address - Street 1:1204 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-2047
Practice Address - Country:US
Practice Address - Phone:702-658-7246
Practice Address - Fax:702-434-2226
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
37512Medicare ID - Type Unspecified
U87575Medicare UPIN