Individual
MR. NANDA KHEDKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
249 S RIVER RD, DES PLAINES, IL 60016-3436
(847) 759-1005
(847) 759-1009
Mailing address
133 SAINT FRANCIS CIR, OAK BROOK, IL 60523-2560
(847) 759-1002
(847) 759-1009
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
36-049550
IL
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
036-049550
IL
2085R0204X
Vascular & Interventional Radiology Physician
036-049550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049550
—
IL
Enumeration date
07/18/2006
Last updated
03/10/2017
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