Basic Information
Provider Information
NPI: 1952552572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHANDELWAL
FirstName: RASHMI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1208 HURLOCK CT
Address2:  
City: BEAR
State: DE
PostalCode: 197014960
CountryCode: US
TelephoneNumber: 3022612269
FaxNumber: 3028342184
Practice Location
Address1: 111 CONTINENTAL DR STE 406
Address2:  
City: NEWARK
State: DE
PostalCode: 197134332
CountryCode: US
TelephoneNumber: 3023682630
FaxNumber: 3023681271
Other Information
ProviderEnumerationDate: 10/01/2008
LastUpdateDate: 10/14/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XC1-0009570DEY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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