Individual
ALIM KHANDEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1251 WESLEY DR, SUITE 151, MEMPHIS, TN 38116-6442
(901) 758-7888
(901) 302-2445
Mailing address
PO BOX 1000, DEPT # 457, MEMPHIS, TN 38148-0001
(901) 758-7888
(901) 302-2445
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014625
—
MS
05
—
110767001
—
AR
05
—
1506167
—
TN
01
—
6005703
BCBS
TN
01
—
P01288702
RAILROAD MEDICARE
TN
Enumeration date
08/07/2006
Last updated
09/21/2022
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