S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION


Address: 1820 Fullerton Ave Ste 125, Corona, CA 92881-3160
Phone: 6509545542

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE 20A10557 01

Office Location

Street Address 1820 FULLERTON AVE STE 125
City CORONA
State CA
Zip Code 92881-3160

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639509748 Unique Ultrasound & Imaging Corporation Internal Medicine 10005 Roosevelt Ave Ste 203, Corona, NY 11368-4880 2013-11-26

Providers in the same taxonomy and state

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
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Competitor

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City CORONA
Zip Code 92881

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Dataset Information

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.

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