Khandelwal, Shobha
Khandelwal, Shobha is an individual health care provider with primary practice located at 970 E Washington St Ste-2F, Medina OH 44256-3332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Khandelwal, Shobha can be contacted via phone (330) 723-7999.Contact Information
Primary practice address
970 E Washington St Ste-2F
Medina OH 44256-3332
Phone: (330) 723-7999
Fax: (330) 764-9907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 054767K | Ohio |
Profile Details
| NPI number | 1083609622 |
|---|---|
| LBN Legal business name | Khandelwal, Shobha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Nov 17th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083609622 | NPPES |
| Ohio | MEDICAID | 0788750 |
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