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NPI Code Detail

MEDICARE: RAHUL P KHANDEKAR DPM

MEDICARE: RAHUL P KHANDEKAR DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist36-003094OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25199110001OTHEROHDMERC

General Provider Information

NPI Number : 1225092521
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHUL P KHANDEKAR DPM
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : THIRD FLOOR BILLING SERVICES
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number : 330-923-0553
Fax Number : 330-923-0556
Provider Business Practice Location Address
First Line : 96 GRAHAM RD
Second Line : SUITE B
City : CUYAHOGA FALLS
State : OH
Zip : 44223-1205
Country : US
Telephone Number : 330-923-0553
Fax Number : 330-923-0556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 12/22/2020

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Directions to “ RAHUL P KHANDEKAR DPM” Practice Location

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