# FIRST STATE INTERNAL MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356693394
- **Authorized official:** RASHMI KHANDELWAL M.D. (PRESIDENT)
- **Authorized official phone:** (302) 753-8204

## Contact information

- **Practice address:** 102 SLEEPY HOLLOW DR, SUITE 101, MIDDLETOWN, DE 19709-5841
- **Practice address phone:** (302) 261-2269
- **Practice address fax:** (302) 834-2184
- **Mailing address:** 1208 HURLOCK CT, BEAR, DE 19701-4960
- **Mailing address phone:** (302) 261-2269
- **Mailing address fax:** (302) 834-2184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2012605820 | DE | Yes |

## Other

- **Enumeration date:** 10/14/2012
- **Last updated:** 02/12/2013
