Individual
RUPA MAHENDRA KHANDWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
15 ROUTE 516, OLD BRIDGE, NJ 08857-1402
(973) 865-6577
Mailing address
15 RAINTREE CT, HOLMDEL, NJ 07733-2814
(732) 887-5598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013812
NY
363AM0700X
Medical Physician Assistant
25MP00195800
NJ
Other
Enumeration date
03/20/2008
Last updated
06/23/2026
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