Individual
SUMITRA S KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(404) 862-9626
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 888-5800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
P6988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6988
TX MEDICAL LICENSE
TX
Enumeration date
07/30/2008
Last updated
11/20/2020
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