Individual
ASHISH KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 GOVERNOR CARLOS CAMACHO ROAD, SUITE 210, TAMUNING, GU 96913
(671) 649-1001
Mailing address
633 GOV CARLOS CAMACHO ROAD SUITE 210, TAMUNING, GU 96913-5736
(671) 649-1001
(671) 649-1002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
45292
KY
2085R0202X
Diagnostic Radiology Physician
Primary
M1758
GU
2085R0202X
Diagnostic Radiology Physician
P2279
TX
Other
Enumeration date
06/02/2008
Last updated
11/13/2019
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