MANOJ KHANDELWAL (NPI# 1821069659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 6284809 | 05 |
Street Address |
5735 RIDGE AVE STE 100A |
City | PHILADELPHIA |
State | PA |
Zip Code | 19128-1746 |
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 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 |
---|---|---|---|---|
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 |
City | PHILADELPHIA |
Zip Code | 19128 |
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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.