Provider Demographics
NPI:1841377942
Name:KHANDELWAL, MEENA (MD)
Entity type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:KHANDELWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:SUITE 623
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2491
Practice Address - Fax:856-342-7023
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA76158207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010005459OtherAMERICHOICE
NJ1174394OtherHORIZON NJ HEALTH
NJ6723403Medicaid
NJ3269020OtherAETNA
NJ37635OtherUNIVERSITY HEALTH PLAN
NJ3584192OtherCIGNA
NJ3K6170OtherHEALTHNET
NJ1582503OtherAMERIHEALTH PPO
NJ60005921OtherHORIZON NJ HEALTH
NJ808482OtherPA BS HIGHMARK
NJ2062409OtherUNITED HEALTHCARE
NJ2261444000OtherAMERIHEALTH/KEYSTONE/IBC
NJP1632529OtherOXFORD
NJ808482OtherPA BS HIGHMARK
NJ3584192OtherCIGNA