MANOJ KHANDELWAL


Address: 5735 Ridge Ave Ste 100a, Philadelphia, PA 19128-1746
Phone: 6103329207

MANOJ KHANDELWAL (NPI# 1821069659) 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) 1821069659
Entity Type Individual
Full Name MANOJ KHANDELWAL
Credential MD
Practice Address 5735 Ridge Ave Ste 100a
Philadelphia
PA 19128-1746
Mailing Address 362 Sprague Rd
Penn Valley
PA 19072-1124
Practice Telephone 6103329207
Practice Fax Number 6094230306
Mailing Telephone 6103329207
Mailing Fax Number 6094230306
Enumeration Date 2006-01-30
Last Update Date 2016-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD047445L PA Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
25MA05176100 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6284809 05

Office Location

Street Address 5735 RIDGE AVE STE 100A
City PHILADELPHIA
State PA
Zip Code 19128-1746

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851877179 Andrew Mermelstein Podiatrist 5800 Roxborough Avenue, Philadelphia, PA 19128 2018-07-19
1811499361 Ursula Wacyk Social Worker 6122 Ridge Avenue, Philadelphia, PW 19128 2018-03-01
1417478454 Chelsea Lynn Roberts Physician Assistant 707 Autumn River Run, Philadelphia, PA 19128 2017-06-29
1174060503 Melody Ann Piranian Nurse Practitioner Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 2017-01-24
1154874410 Meghan Smith Pharmacist 5927-59 Ridge Ave, Philadelphia, PA 19128 2016-08-03
1356797880 Jenna Angelo Registered Nurse 457 Spring Lane, Philadelphia, PA 19128 2016-05-13
1689049843 Newcourtland Senior Centers Clinic/Center 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 2015-12-14
1235519331 Merin Wexler Social Worker 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 2015-06-03
1457754335 Sarah De Simone Specialist/Technologist 318 Fountain Street, Philadelphia, PA 19128 2014-10-06
1609280049 Sylvia Russianoff Counselor 128 Rochelle Avenue, Philadelphia, PA 19128 2014-06-13
Find all providers in zip 19128

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
1841798121 Coordinated Health of Penn, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2018-01-31
1124409826 Sanjog Kalra Internal Medicine 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 2015-06-18
1851854517 Cpa Care of Penn II, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2019-04-10
1679036339 Cpa Care of Penn, LLC Internal Medicine 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 2019-04-10
1225576978 Clinical Nephrology Assoc Inc PC Internal Medicine 235 N Broad St, Suite 100, Philadelphia, PA 19107 2017-02-02
1043758790 Metropolitan Nephrology Associates, PC Internal Medicine 235 N Broad St, Suite 100, Philadelphia, PA 19107 2017-02-02
1316388853 Edo Birati Internal Medicine 3400 Spruce St, Philadelphia, PA 19104-4206 2013-07-12
1881990281 The Cardiology Group, P.a. Internal Medicine 51 N 39th St, Philadelphia, PA 19104-2640 2011-02-02
1992936306 Taisei John Kobayashi Internal Medicine 3400 Spruce St, Philadelphia, PA 19104-4206 2009-08-03
1679735211 Robert S Fenning Internal Medicine 3400 Spruce St, 9 Gates, Philadelphia, PA 19104 2008-06-25
Find all providers in PHILADELPHIA

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City PHILADELPHIA
Zip Code 19128

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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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