Khandelwal, Manoj

Khandelwal, Manoj is an individual health care provider with primary practice located at 5735 Ridge Ave Ste 100A , Philadelphia PA 19128-1746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Khandelwal, Manoj can be contacted via phone (610) 332-9207.

Contact Information

Primary practice address
5735 Ridge Ave Ste 100A Philadelphia PA 19128-1746
Phone: (610) 332-9207
Fax: (609) 423-0306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD047445L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 25MA05176100 New Jersey

Profile Details

NPI number 1821069659
LBN Legal business name Khandelwal, Manoj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 13th, 2016 - about 8 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 1821069659 NPPES
New Jersey MEDICAID 6284809

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