Individual
DR. ANAND VARDHAN KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 E WASHINGTON ST, STE-2F, MEDINA, OH 44256-3332
(330) 723-7999
(330) 764-9907
Mailing address
970 E WASHINGTON ST, STE-2F, MEDINA, OH 44256-3332
(330) 723-7999
(330) 764-9907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51224
OH
207RP1001X
Pulmonary Disease Physician
051224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051224
MEDICAL LICENCE #
OH
05
—
0667194
—
OH
Enumeration date
09/20/2005
Last updated
03/10/2014
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