Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35.122389 | OH |
Y | 208600000X | Surgeon | 35.122389 | OH |
N | 208200000X | Surgeon | MD00046923 | WA |
N | 208600000X | Surgeon | MD00046923 | WA |
N | 2086S0102X | Surgical Critical Care | E-6714 | AR |
NPI | 1114933777 |
---|---|
Provider Name | Dr. Anjay Kumar Khandelwal |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308-1063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 06/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184701001 | (05) | AR |
8458424 | (05) | WA |
I59425 | (02) | WA |