MEDICARE: A & S KHANDELWAL MD INC

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
1	207RP1001X	Pulmonary Disease Physician	051224K	OH
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35-054767K	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1487702718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & S KHANDELWAL MD INC

Provider Business Mailing Address
First Line	:	970 E WASHINGTON ST STE 2F
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-2181
Country	:	US
Telephone Number	:	330-723-7999
Fax Number	:	330-764-9907

Provider Business Practice Location Address
First Line	:	970 E WASHINGTON ST STE 2F
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-2181
Country	:	US
Telephone Number	:	330-723-7999
Fax Number	:	330-764-9907

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANAND V KHANDELWAL
Credential	:	M.D.
Telephone Number	:	330-723-7999

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/29/2008

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Directions to “A & S KHANDELWAL MD INC ” Practice Location

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