Individual
CHRISTINE MAZZOLA KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 235-6575
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-00091
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2009-00091
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
2009-00091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265639207
—
NC
Enumeration date
07/02/2007
Last updated
10/04/2023
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