Khandelwal, Pankaj

Khandelwal, Pankaj is an individual health care provider with primary practice located at 301 N Washington Ave , Odessa TX 79761-5413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khandelwal, Pankaj can be contacted via phone (432) 335-8275.

Contact Information

Primary practice address
301 N Washington Ave Odessa TX 79761-5413
Fax: (432) 334-0687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X J3514 Texas

Profile Details

NPI number 1114964756
LBN Legal business name Khandelwal, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 29th, 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 1114964756 NPPES
New Mexico MEDICAID 000J7105
New Mexico MEDICAID 135931704
New Mexico MEDICAID 135931703
New Mexico MEDICAID 135931702
New Mexico MEDICAID 135931706
New Mexico Other 830001029
New Mexico MEDICAID 135931705
New Mexico MEDICAID 135931709
New Mexico Other 8R1486
New Mexico MEDICAID 135931701

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