Individual
ANITA KHANDELWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 S HANOVER ST, SUITE 210 GRUEHN BLDG, BALTIMORE, MD 21225-1233
(410) 355-2244
(410) 350-7089
Mailing address
502 PINEFIELD DR, SEVERNA PARK, MD 21146-2320
(410) 544-5988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0052490
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012971200
—
MD
Enumeration date
07/21/2006
Last updated
03/17/2017
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