Provider Demographics
NPI:1831431618
Name:KHANDROS, EUGENE (MD, PHD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:KHANDROS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:YEVGENIY
Other - Middle Name:
Other - Last Name:KHANDROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3615 CIVIC CENTER BLVD
Mailing Address - Street 2:ABRAMSON RESEARCH CENTER 315A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-3535
Mailing Address - Fax:267-426-9892
Practice Address - Street 1:3500 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4395
Practice Address - Country:US
Practice Address - Phone:215-590-3535
Practice Address - Fax:267-426-9892
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT2102812080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology