Provider Demographics
NPI:1912118324
Name:KHANNA, NAMITA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAMITA
Middle Name:
Last Name:KHANNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAMITA
Other - Middle Name:
Other - Last Name:JHAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1365 A CLIFTON RD,
Mailing Address - Street 2:BUILDING AA, 4'TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30332-2200
Mailing Address - Country:US
Mailing Address - Phone:404-778-4416
Mailing Address - Fax:
Practice Address - Street 1:1365 A CLIFTON RD,
Practice Address - Street 2:BUILDING AA, 4'TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30332-2200
Practice Address - Country:US
Practice Address - Phone:404-778-4416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92608207VX0201X
GA064847207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology