Individual
SURESH KHANDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2544 COURT DR STE G, GASTONIA, NC 28054-3450
(704) 854-9990
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 616-8625
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200400530
NC
207RG0100X
Gastroenterology Physician
28554
SC
207RG0100X
Gastroenterology Physician
MD439742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285541
—
SC
Enumeration date
01/24/2006
Last updated
03/07/2023
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