Kenneth F Khandagle (NPI# 1508849274, PAC ID# 8426037631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508849274 |
| PAC ID by PECOS | 8426037631 |
| Professional Enrollment ID | I20040720000155 |
| Full Name | Kenneth F Khandagle |
| Organization Legal Name | KHANDAGLE MEDICAL ASSOCIATES PA |
| Address |
12520 Prosperity Dr Suite 320 Silver Spring MD 20904-1664 |
| Phone Number | 3014391200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799740627 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210016 | ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12520 Prosperity Dr, Suite 320, Silver Spring, MD 20904-1664 | 3014391200 | KHANDAGLE MEDICAL ASSOCIATES PA |
| Organization Legal Name | KHANDAGLE MEDICAL ASSOCIATES PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Diane Khandagle | Internal Medicine | Khandagle Medical Associates Pa | 12520 Prosperity Dr, Suite 320, Silver Spring, MD 20904-1664 |
| Street Address |
12520 PROSPERITY DR SUITE 320 |
| City | SILVER SPRING |
| State | MD |
| Zip | 20904-1664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Diane Khandagle | Internal Medicine | Khandagle Medical Associates Pa | 12520 Prosperity Dr, Suite 320, Silver Spring, MD 20904-1664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Aiyegoro | Occupational Therapy | Dmv Home Therapy Opco LLC | 12501 Prosperity Dr, Suite 160, Silver Spring, MD 20904-1608 |
| Rona M Lejarde | Physical Therapy | Dmv Home Therapy Opco LLC | 12501 Prosperity Dr, Suite 160, Silver Spring, MD 20904-1608 |
| Yvette Ross Hebron | Physical Medicine and Rehabilitation | 12510 Prosperity Dr, Suite 260, Silver Spring, MD 20904-1630 | |
| Leonard J Goldman | Oral Surgery | 12510 Prosperity Dr, Suite 250, Silver Spring, MD 20904-1641 | |
| Mario E Pruss | Psychiatry | Thrive Behavioral Health, LLC | 12501 Prosperity Dr, Suite 235, Silver Spring, MD 20904-1650 |
| Victoria E Lee | Psychologist, Clinical | Psychcare Psychological Services LLC | 12501 Prosperity Dr, Suite 310, Silver Spring, MD 20904-1699 |
| Julie A Murphy | Psychologist, Clinical | Psychcare Psychological Services LLC | 12501 Prosperity Dr, Suite 310, Silver Spring, MD 20904-1699 |
| Penny S Zimmerman | Clinical Social Worker | Psychcare Psychological Services LLC | 12501 Prosperity Dr, Suite 310, Silver Spring, MD 20904-1699 |
| Jennifer Sibley | Clinical Social Worker | Psychcare Psychological Services LLC | 12501 Prosperity Dr, Suite 310, Silver Spring, MD 20904-1699 |
| Denise C Katz | Clinical Social Worker | Psychcare Psychological Services LLC | 12501 Prosperity Dr, Suite 310, Silver Spring, MD 20904-1699 |
| Find all physicians in zip 20904 | |||
| City | SILVER SPRING |
| Zip Code | 20904 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SILVER SPRING + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth F Khandagle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.