Individual
DR. MUKUL KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8109 RITCHIE HWY, PASADENA, MD 21122-6917
(410) 590-8920
(410) 553-2345
Mailing address
502 PINEFIELD DR, SEVERNA PARK, MD 21146-2320
(410) 590-8920
(410) 553-2345
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0052387
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369600600
—
MD
Enumeration date
08/10/2005
Last updated
08/30/2012
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