Provider Demographics
NPI:1073568259
Name:KHURANA, AMAN (MD)
Entity type:Individual
Prefix:
First Name:AMAN
Middle Name:
Last Name:KHURANA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19248
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62794-9248
Mailing Address - Country:US
Mailing Address - Phone:217-528-7541
Mailing Address - Fax:
Practice Address - Street 1:505 E GRANT ST STE 110
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-3308
Practice Address - Country:US
Practice Address - Phone:217-528-7541
Practice Address - Fax:217-525-2535
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY44624207R00000X
IL036135598207R00000X, 207RC0000X
SD5220207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036135598Medicaid
KYP01116941OtherMEDICARE RR
KYP01116941OtherMEDICARE RR
KYK063660Medicare Oscar/Certification
IL036135598Medicaid
ILF400175274Medicare PIN
SDS41370Medicare PIN