Provider Demographics
NPI:1346451648
Name:KHERA, ONER ALI (MD)
Entity type:Individual
Prefix:
First Name:ONER
Middle Name:ALI
Last Name:KHERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-3910
Mailing Address - Country:US
Mailing Address - Phone:318-212-8951
Mailing Address - Fax:318-212-6752
Practice Address - Street 1:8001 YOUREE DR STE 450
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-2333
Practice Address - Country:US
Practice Address - Phone:318-212-3706
Practice Address - Fax:318-212-3846
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ44263207X00000X, 207XS0117X
OH57010738207X00000X
NY256878207X00000X
LAMD.310204207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ620942Medicaid
AZ4Z0124OtherHEALTHNET
AZ4Z0124OtherHEALTHNET
AZP00959239Medicare PIN