Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHYLAJA GONTINA-KHATIWALA, MD
ActiveDR. SHYLAJA GONTINA-KHATIWALA, MD is a Addiction Medicine (Family Practice) healthcare provider located in SOUTH LYON, Michigan. NPI 1205836137 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SOUTH LYON, MI
Registration Details
- NPI Number
- 1205836137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2005 (21.052641001921 yrs)
- Last Updated
- Sep 27, 2024
- Licenses
-
4301076421 (MI)4301076421 (MI)
Practice Information
- Address
-
9600 N RUSHTON RDSOUTH LYON, MI, 481788849Browse MI providers · Browse ZIP 48178
- Phone
- 2487211510
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.