| Mukul Khandelwal, Pa | |
|
85 Kindred Way Suite 201 Glen Burnie MD 21061-5249 | |
| (410) 590-8920 | |
| (410) 799-9331 |
| Full Name | Mukul Khandelwal, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 85 Kindred Way, Glen Burnie, Maryland |
| Authorized Official Name and Position | Mukul Khandelwal (PRESIDENT) |
| Authorized Official Contact | 4105908920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mukul Khandelwal, Pa Po Box 8416 Elkridge MD 21075-7500 Ph: (410) 590-8920 | Mukul Khandelwal, Pa 85 Kindred Way Suite 201 Glen Burnie MD 21061-5249 Ph: (410) 590-8920 |
| NPI Number | 1316969256 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 04/15/2026 |
| Medicare PECOS PAC ID | 7416936620 |
|---|---|
| Medicare Enrollment ID | O20040720000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316969256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D0052387 (Maryland) | Primary |
| Provider Name | John Wesolowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962440255 PECOS PAC ID: 3779485206 Enrollment ID: I20040330001573 |
| Provider Name | Ali Razi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932116241 PECOS PAC ID: 0244227288 Enrollment ID: I20040429001362 |
| Provider Name | Mahmood Solaiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316928849 PECOS PAC ID: 4981684933 Enrollment ID: I20040721001178 |
| Provider Name | Mukul Khandelwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871595942 PECOS PAC ID: 0042299257 Enrollment ID: I20040721001238 |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20061212000231 |
| Provider Name | Lu Lin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275665382 PECOS PAC ID: 9032215504 Enrollment ID: I20070430000106 |
| Provider Name | John Evans Preston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134129190 PECOS PAC ID: 8729187505 Enrollment ID: I20070619000550 |
| Provider Name | Stephen Villanyi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437150232 PECOS PAC ID: 6507942794 Enrollment ID: I20080328000100 |
| Provider Name | Erica Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104199736 PECOS PAC ID: 8729247317 Enrollment ID: I20120319000359 |
| Provider Name | Joseph O Udeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225305840 PECOS PAC ID: 5092974683 Enrollment ID: I20120319000367 |
| Provider Name | Anne Marie S Muntuerto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639446966 PECOS PAC ID: 5395906242 Enrollment ID: I20120419000637 |
| Provider Name | Joachim Gomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386902823 PECOS PAC ID: 2466617360 Enrollment ID: I20140702000728 |
| Provider Name | Cesar Visurraga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528317716 PECOS PAC ID: 2961643390 Enrollment ID: I20141114000118 |
| Provider Name | Leslie N Awasom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134519176 PECOS PAC ID: 2668790536 Enrollment ID: I20150406002174 |
| Provider Name | Victoria Ladele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932591559 PECOS PAC ID: 8022336072 Enrollment ID: I20150423000730 |
| Provider Name | Srinivas Mandava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992904585 PECOS PAC ID: 3173500568 Enrollment ID: I20150617000145 |
1st Step Medical & 1st Step Greenmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Crain Hwy S Ste 2, Glen Burnie, MD 21061 Phone: 410-582-8170 Fax: 866-401-0775 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Drive, Ste 304, Glen Burnie, MD 21061 Phone: 410-553-8146 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7671 Quarterfield Rd, Glen Burnie, MD 21061 Phone: 410-457-3041 | |
Gelsimo A. Cruz, M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Hospital Drive, Suite 230, Glen Burnie, MD 21061 Phone: 410-768-2700 Fax: 410-768-2701 | |
Horizon Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Suite 105, Glen Burnie, MD 21061 Phone: 410-650-4100 Fax: 877-648-1188 | |
Dr. Bamba's Health And Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1406b Crain Hwy S Ste 308, Glen Burnie, MD 21061 Phone: 443-953-8255 | |
Maryland Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7711 Quarterfield Rd Ste A, Glen Burnie, MD 21061 Phone: 410-761-5600 Fax: 410-761-5734 |