Individual
KHANDURAO BHANUDAS KHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55936
MN
208M00000X
Hospitalist Physician
55936
MN
208M00000X
Hospitalist Physician
Primary
92658
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209261
—
NH
05
—
434951299
—
ME
01
—
P00901270
RR MEDICARE
NH
Enumeration date
10/17/2008
Last updated
12/31/2022
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