Khandelwal, Niraj

Khandelwal, Niraj is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 402, Fayetteville GA 30214-4548. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Khandelwal, Niraj can be contacted via phone (770) 719-3240.

Contact Information

Primary practice address
1265 Highway 54 W Suite 402 Fayetteville GA 30214-4548
Phone: (770) 719-3240
Fax: (770) 719-3241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 57.017193 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 67781 Georgia

Profile Details

NPI number 1619186228
LBN Legal business name Khandelwal, Niraj
Credentials MD, MHS
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 9th, 2012 - about 14 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 1619186228 NPPES
Other BP1-0022713 INSTITUTIONAL PERMIT

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