Provider Type Icon

S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION NPI 1457995789


NPI Information

NPI: 1457995789
Provider Name: S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
1820 FULLERTON AVE STE 125
CORONA, CA
ZIP 92881
Phone: (650) 954-5542
Get Directions

S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION is an interventional cardiology internal medicine in Corona, CA. The provider is 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. S M KHANDHAR DO A PROFESSIONAL MEDICAL CORPORATION NPI is 1457995789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1820 FULLERTON AVE STE 125
CORONA, CA
ZIP 92881-160
Phone: (650) 954-5542

The provider's authorized official is Sumit M Khandhar .
The authorized official title is Medical Director and has the following contact phone number (650) 954-5542.

The enumeration date for this NPI number is 10/30/2019 and was last updated on 10/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120A10557OTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.