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Individual

ASHISH KHANDELWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 351-7200
Mailing address
538 SW 45TH ST, OCALA, FL 34474-9747
(352) 861-6547
(352) 873-8471

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME95528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56016
BCBS - FL
FL
01
P00466181
RR MEDICARE
FL
Enumeration date
12/05/2006
Last updated
03/09/2010
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