Organization
DR. ALIM KHANDEKAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIM KHANDEKAR (MD)
(901) 396-3061
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, SUITE 201, MEMPHIS, TN 38116-6400
(901) 396-3061
(901) 207-1898
Mailing address
1264 WESLEY DR, SUITE 201, MEMPHIS, TN 38116-6400
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506167
—
TN
01
—
6005703
BCBS TN
TN
Enumeration date
01/11/2017
Last updated
01/23/2017
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