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21D0976507 CLIA NUMBER - ANITA KHANDELWAL MD PA

Laboratory Demographics

CLIA Number: 21D0976507

Facility Name: ANITA KHANDELWAL MD PA

Facility Address:
3001 S HANOVER STREET STE 210
BALTIMORE, MD
ZIP 21225
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Facility Phone Number: 410 355-2244

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518988047

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 21D0976507
LAB Type Physician Office
Facility Name ANITA KHANDELWAL MD PA
Street 3001 S HANOVER STREET STE 210
City BALTIMORE
State MD
ZIP 21225
Phone 410 355-2244
CertificateType 4
CertificateEffectiveDate 8/7/2022
CertificateExpirationDate 8/6/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024