Provider Demographics
NPI:1750544821
Name:KHADKA, GHANA S (DO)
Entity type:Individual
Prefix:
First Name:GHANA
Middle Name:S
Last Name:KHADKA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1055 CLARKSVILLE STE 185
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460
Mailing Address - Country:US
Mailing Address - Phone:903-739-7461
Mailing Address - Fax:903-739-7935
Practice Address - Street 1:2850 LEWIS LANE STE 106
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460
Practice Address - Country:US
Practice Address - Phone:903-739-7400
Practice Address - Fax:903-739-7407
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0289207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine