Prakash K Khandekar MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.033148 Issued in OH

Legal business name

PRAKASH K KHANDEKAR MD

Practice address

6803 Mayfield Rd
310
Mayfield HTS, OH 44124-2215

Phone

(440) 442-3334

Fax

(440) 442-4948

NPI assigned

Jul 3, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prakash K. Khandekar, M.D.

Title

President

Phone

(440) 442-3334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prakash K Khandekar MD, M.D.

  • Dermatology Physician
  • Mayfield HTS, OH
  • NPI 1538340054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659301844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "310",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242215",
            "telephone_number": "440-442-3334",
            "fax_number": "440-442-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 MAYFIELD RD",
            "address_2": "310",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242215",
            "telephone_number": "440-442-3334",
            "fax_number": "440-442-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH K KHANDEKAR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KHANDEKAR",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-442-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.033148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John L. Pund, PA-C
• Catherine A Quinn-Welsh, CNP

• Dermatology Physician in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.