Khandheria, Manoj P

Khandheria, Manoj P is an sole proprietor health care provider with primary practice located at 2424 50Th St Rm 301 , Lubbock TX 79412-2561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Khandheria, Manoj P can be contacted via phone (806) 795-2533.

Contact Information

Primary practice address
2424 50Th St Rm 301 Lubbock TX 79412-2561
Fax: (806) 795-0336
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G4324 Texas

Profile Details

NPI number 1861506669
LBN Legal business name Khandheria, Manoj P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2010 - 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 1861506669 NPPES
Texas MEDICAID 097789402

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