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Organization

A & S KHANDELWAL MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANAND V KHANDELWAL M.D. (PRESIDENT)
(330) 723-7999
Entity
Organization

Contact information

Practice address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256-2181
(330) 723-7999
(330) 764-9907
Mailing address
970 E WASHINGTON ST STE 2F, MEDINA, OH 44256-2181
(330) 723-7999
(330) 764-9907

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-054767K
OH
207RP1001X
Pulmonary Disease Physician
051224K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0880702
OH
Enumeration date
01/05/2007
Last updated
02/29/2008
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