Dr. Shobha Khandelwal
Geriatric Medicine
970 E Washington St Ste-2f
Medina
, Ohio 44256-3332
Dr. Shobha Khandelwal
Geriatric Medicine
970 E Washington St Ste-2f
Medina
, Ohio 44256-3332
(330) 764-9907
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Shobha Khandelwal
- 970 E Washington St Ste 2f
- Medina, OH
- Zip : 44256-2181
- Fax : (330) 764-9907
- Phone : (330) 722-8886
Second Address
- Dr. Shobha Khandelwal
- 970 E Washington St Ste-2f
- Medina, OH
- Zip : 44256-3332
- Fax : (330) 764-9907
- Phone : (330) 723-7999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 054767K | OH |
National Provider Identifier
| NPI | 1083609622 |
|---|---|
| Provider Name | Dr. Shobha Khandelwal |
| First Address | Medina, OH 44256-2181 |
| Second Address | Medina, OH 44256-3332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 17/11/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0788750 | (05) | OH |
| E54688 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.