Individual
DR. ANJALI SUBHASH KHERDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 CARE CIR, AMARILLO, TX 79124-2118
(806) 353-7417
(806) 353-4007
Mailing address
3210 GRAND AVE, WAUKEGAN, IL 60085-2204
(806) 353-7417
(806) 353-4007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036099539
IL
207R00000X
Internal Medicine Physician
M6230
TX
Other
Enumeration date
05/17/2007
Last updated
02/14/2019
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