Individual
DR. BAL KRISHNA KHANDELWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PRIMARY CARE CLINIC OF NORTH TEXAS (CHARITY CLINIC), 3900 AMERICAN DRIVE, #201, PLANO, TX 75075
(972) 596-6005
(972) 596-6004
Mailing address
6113 MARTINOVE STREET, PLANO, TX 75024
(432) 352-0334
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E9266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085583501
—
TX
01
—
82Z930
MEDICARE PROVIDER NUMBER
TX
Enumeration date
09/20/2006
Last updated
02/02/2022
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