Amit Khanna
Family Medicine (Sleep Medicine)

Address: 365 Montauk Ave, New London, CT 06320-4700
Phone: 8604420711

Amit Khanna (NPI# 1013012723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013012723
Entity Type Individual
Full Name Amit Khanna
Credential MD
Gender Male
Practice Address 365 Montauk Ave
New London
CT 06320-4700
Practice Telephone 8604420711
Mailing Address 365 Montauk Ave
New London
CT 06320-4700
Mailing Telephone 8604420711
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-09-14
Last Update Date 2009-11-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207QS1201X Family Medicine · Sleep Medicine Allopathic & Osteopathic Physicians 048221 CT

Other Providers AMIT KHANNA

NPI Name Taxonomy Address Enumeration
1568660462 Amit Khanna Surgery 8815 Germantown Ave Ste 22, Philadelphia, PA 19118-2722 2007-07-03
1841373750 Amit Khanna Dentist 23278 Three Notch Rd, California, MD 20619-6018 2006-10-23

Physician Overview

NPI 1013012723
PAC ID by PECOS 1153320296
Professional Enrollment ID I20091123000425
Full Name Amit Khanna
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Phone Number 8604443366
Gender M
Graduation Year 2002
Primary Specialty SLEEP MEDICINE
Group Practice PAC ID 1254233836
Number of Group Practice Members 922
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070007 LAWRENCE & MEMORIAL HOSPITAL

Office Location

Street Address 365 MONTAUK AVE
City NEW LONDON
State CT
Zip Code 06320-4700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609872845 Ingrid Hafenscher Feder Family Medicine 365 Montauk Ave, Hospital Internists of New London, New London, CT 06320-4700 2005-06-22
1669930178 Marvin Graham Anesthesiology 365 Montauk Ave, New London, CT 06320-4700 2019-03-05
1285190462 Keren Mariam Paul Student in an Organized Health Care Education/Training Program 365 Montauk Ave, New London, CT 06320-4700 2019-02-13
1225593783 Ekelechi Nwanju Nurse Anesthetist, Certified Registered 365 Montauk Ave, New London, CT 06320-4700 2019-02-08
1407310717 David Bradford White Nurse Anesthetist, Certified Registered 365 Montauk Ave, New London, CT 06320-4700 2019-01-31
1659835502 Charlotte Marie Bell Nurse Practitioner 365 Montauk Ave, New London, CT 06320-4700 2019-01-24
1124590930 Abbey Rumbold Physician Assistant 365 Montauk Ave, New London, CT 06320-4769 2018-12-19
1295213320 Kelsey Bestall Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2018-07-31
1457843963 Danielle Corine Young Physician Assistant 365 Montauk Ave, New London, CT 06320-4700 2018-05-31
1770074957 Ashley O'brien Nurse Practitioner 365 Montauk Ave, New London, CT 06320-4700 2018-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174009641 Catherine Hinojosa Nurse Practitioner 1 Shaws Cove, New London, CT 06320 2018-07-17
1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1083091789 Iwona Dziewa Pediatrics 53 Granite St Ste C, New London, CT 06320 2015-05-01
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
1942474739 Allyson Abo Salek Pediatrics 53-c Granite Street, New London, CT 06320 2008-04-14
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Taxonomy Information

Taxonomy Code 207QS1201X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sleep Medicine

Taxonomy Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083879522 Brimal B Patel Family Medicine 305 Church St Ste 1, Naugatuck, CT 06770-2836 2008-07-24

Competitor

Search similar providers

City NEW LONDON
Zip Code 06320

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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