Khandelwal, Niraj
Khandelwal, Niraj is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 402, Fayetteville GA 30214-4548. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Khandelwal, Niraj can be contacted via phone (770) 719-3240.Contact Information
Primary practice address
1265 Highway 54 W Suite 402
Fayetteville GA 30214-4548
Phone: (770) 719-3240
Fax: (770) 719-3241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 57.017193 | Ohio |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 67781 | Georgia |
Profile Details
| NPI number | 1619186228 |
|---|---|
| LBN Legal business name | Khandelwal, Niraj |
| Credentials | MD, MHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 9th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619186228 | NPPES |
| Other | BP1-0022713 | INSTITUTIONAL PERMIT |
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