Individual
SANDEEP JITENDRA KHANDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8613 ROUTE 29 # 200N, FAIRFAX, VA 22031-2171
(571) 350-8400
(703) 940-8748
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(703) 280-5390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101242034
VA
208600000X
Surgery Physician
0101242034
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101242034
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2006-01403
NC
Other
Enumeration date
09/26/2006
Last updated
03/10/2025
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