Individual
MANOJ P KHANDHERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 50TH ST RM 301, LUBBOCK, TX 79412-2561
(806) 795-2533
(806) 795-0336
Mailing address
PO BOX 64056, LUBBOCK, TX 79464-4056
(806) 795-2533
(806) 795-0336
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G4324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097789402
—
TX
Enumeration date
08/18/2006
Last updated
07/08/2010
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