Dr. Sanjiv K Khullar, M.D.
Internal Medicine, Gastroenterology in Canton, OH. Individual provider (NPI-1).
NPI number1043364656
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1043364656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sanjiv K Khullar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 35076082 | OH | Yes |
Practice location
2726 Fulton Dr NwCanton, OH 44718-3506
Phone 330-455-5011 · Fax 330-588-7127
Mailing address
2726 Fulton Dr NwCanton, OH 44718-3506
Phone 330-455-5011 · Fax 330-588-7127
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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