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Individual

DR. AKSHAY KUMAR KHANDELWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4214
(878) 332-4468
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4214

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073923
MI
207RC0000X
Cardiovascular Disease Physician
4301073923
MI
207RI0011X
Interventional Cardiology Physician
4301073923
MI
207RI0011X
Interventional Cardiology Physician
Primary
MD482334
PA
207UN0901X
Nuclear Cardiology Physician
4301073923
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005322461
HIGHMARK BC/BS
PA
05
104223526
PA
01
6C8730
MEDICARE PTAN
PA
01
7560962
AETNA PIN
PA
Enumeration date
06/04/2007
Last updated
07/09/2024
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