Individual
SUREKHA D KHEDEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 MURPHY CT, WEST ORANGE, NJ 07052-3122
(973) 325-2968
Mailing address
3 MURPHY CT, WEST ORANGE, NJ 07052-3122
(973) 325-2968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04386900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5219701
—
NJ
Enumeration date
07/26/2005
Last updated
03/28/2008
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