Provider Demographics
NPI:1043657133
Name:KHANNA, SAVAN NAND (PHARMD)
Entity type:Individual
Prefix:
First Name:SAVAN
Middle Name:NAND
Last Name:KHANNA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 WOODMONT AVE
Mailing Address - Street 2:UNIT 310
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5361
Mailing Address - Country:US
Mailing Address - Phone:301-254-0805
Mailing Address - Fax:
Practice Address - Street 1:12525 PARK POTOMAC AVE
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-6942
Practice Address - Country:US
Practice Address - Phone:301-254-0805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18907183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist