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Organization
SMB MEDICAL GROUP DE, P.A.
Active
Organization
SMB MEDICAL GROUP DE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP KHOSLA MD (PRESIDENT)
(415) 835-4794
Entity
Organization
Contact information
Practice address
1S376 SUMMIT AVE BLDG C, OAKBROOK TERRACE, IL 60181-3985
(415) 835-4794
Mailing address
1S376 SUMMIT AVE BLDG C, OAKBROOK TERRACE, IL 60181-3985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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