Individual
SHIV R. KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4100
(540) 829-4272
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101043349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139252
—
VA
Enumeration date
11/08/2006
Last updated
07/31/2021
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