S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION (NPI# 1457995789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457995789 |
Entity Type | Organization |
Organization Name | S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION |
Practice Address |
1820 Fullerton Ave Ste 125 Corona CA 92881-3160 |
Practice Telephone | 6509545542 |
Mailing Telephone | 6509545542 |
Enumeration Date | 2019-10-30 |
Last Update Date | 2019-10-30 |
Authorized Official Name | DR. SUMIT M KHANDHAR (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6509545542 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | 20A10557 | 01 |
Street Address |
1820 FULLERTON AVE STE 125 |
City | CORONA |
State | CA |
Zip Code | 92881-3160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356483317 | Arti C. Amin | Podiatrist | 1820 Fullerton Ave Ste 125, Corona, CA 92881-3160 | 2007-02-13 |
1588129589 | Caitlyn Lee | Podiatrist | 1820 Fullerton Ave Ste 125, Corona, CA 92881-3108 | 2019-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
Find all providers in zip 92881 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639509748 | Unique Ultrasound & Imaging Corporation | Internal Medicine | 10005 Roosevelt Ave Ste 203, Corona, NY 11368-4880 | 2013-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.