Organization
PRAKASH K KHANDEKAR MD
Active
Organization
PRAKASH K KHANDEKAR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH K. KHANDEKAR M.D. (PRESIDENT)
(440) 442-3334
Entity
Organization
Contact information
Practice address
6803 MAYFIELD RD, 310, MAYFIELD HTS, OH 44124-2215
(440) 442-3334
(440) 442-4948
Mailing address
6803 MAYFIELD RD, 310, MAYFIELD HTS, OH 44124-2215
(440) 442-3334
(440) 442-4948
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.033148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179640
—
OH
Enumeration date
07/03/2006
Last updated
04/20/2008
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