Individual
ANUPAM KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
847 W CHILDS AVE, MERCED, CA 95341-6862
(209) 383-7441
(209) 383-0318
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A98697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A98697
MEDICAL LICENSE
CA
Enumeration date
02/12/2007
Last updated
12/21/2021
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