Provider Demographics
NPI:1851439822
Name:KHURANA, NIRMAL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRMAL
Middle Name:KUMAR
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 1:865 MERRICK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3338
Mailing Address - Country:US
Mailing Address - Phone:516-546-6262
Mailing Address - Fax:516-546-5077
Practice Address - Street 1:865 MERRICK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3338
Practice Address - Country:US
Practice Address - Phone:516-546-6262
Practice Address - Fax:516-546-5077
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY116182208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics