Individual
SUMIT MAHENDRA KHANDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2250 S MAIN ST STE 201, CORONA, CA 92882-2536
(951) 734-4880
(951) 734-7963
Mailing address
1901 TOWN AND COUNTRY DR STE 104, NORCO, CA 92860-3611
(951) 737-8141
(951) 738-9954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10557
CA
207RC0000X
Cardiovascular Disease Physician
20A10557
CA
207RI0011X
Interventional Cardiology Physician
Primary
20A10557
CA
Other
Enumeration date
02/06/2008
Last updated
11/06/2017
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