Individual
DR. AMARESH B KHANDAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 W BANK ST, SUITE 7, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 863-1665
Mailing address
506 BATTISTA CT, #303, CHESTER, VA 23836-2545
(804) 415-1156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101237379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189398
—
VA
05
—
189399
—
VA
05
—
189401
—
VA
05
—
189402
—
VA
05
—
189404
—
VA
05
—
189406
—
VA
05
—
189407
—
VA
05
—
189408
—
VA
05
—
O88057M
—
VA
05
—
O88475M
—
VA
Enumeration date
05/15/2006
Last updated
07/09/2007
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