Khandekar Md, Prakash K

Khandekar Md, Prakash K is an sole proprietor health care provider with primary practice located at 6803 Mayfield Rd 310 , Mayfield Hts OH 44124-2215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Khandekar Md, Prakash K can be contacted via phone (440) 442-3334.

Contact Information

Primary practice address
6803 Mayfield Rd 310 Mayfield Hts OH 44124-2215
Phone: (440) 442-3334
Fax: (440) 442-4948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35.033148 Ohio

Profile Details

NPI number 1538340054
LBN Legal business name Khandekar Md, Prakash K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538340054 NPPES
Ohio MEDICAID 0179640

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