Individual
PARTH VIJAY KHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 W 15TH ST, PLANO, TX 75075-7753
(972) 867-3577
(972) 867-3682
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
309017
LA
207RH0003X
Hematology & Oncology Physician
S9009
TX
207RX0202X
Medical Oncology Physician
Primary
S9009
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2358448
—
LA
Enumeration date
04/24/2014
Last updated
04/25/2023
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