Provider Demographics
NPI:1447744172
Name:KHANNA, SAIRA (MD)
Entity type:Individual
Prefix:
First Name:SAIRA
Middle Name:
Last Name:KHANNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 E DEMPSTER ST STE 400
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5320
Mailing Address - Country:US
Mailing Address - Phone:847-299-0700
Mailing Address - Fax:847-390-0616
Practice Address - Street 1:2454 E DEMPSTER ST STE 400
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-5320
Practice Address - Country:US
Practice Address - Phone:847-299-0700
Practice Address - Fax:847-390-0616
Is Sole Proprietor?:No
Enumeration Date:2018-06-16
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125073158207R00000X
IL036159657207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine