Provider Demographics
NPI:1568449965
Name:KHEMKA, MAHAVEER P (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHAVEER
Middle Name:P
Last Name:KHEMKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1211 W LA PALMA AVE
Mailing Address - Street 2:#410
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2815
Mailing Address - Country:US
Mailing Address - Phone:714-956-7231
Mailing Address - Fax:714-758-9676
Practice Address - Street 1:1211 W LA PALMA AVE
Practice Address - Street 2:#410
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2815
Practice Address - Country:US
Practice Address - Phone:714-956-7231
Practice Address - Fax:714-758-9676
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA25263174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist