Individual
PUSHTI KHANDWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-4501
Mailing address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-4501
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MT218706
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2019
Last updated
04/30/2026
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