DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANURAG KHANDAVALLI, DO

Active Sole Proprietor

ANURAG KHANDAVALLI, DO is a Internal Medicine healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1902556277 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1902556277
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2022 (4.1934316596165 yrs)
Last Updated
Jun 27, 2022
License
5151015492 (MI)
Sole Proprietor
Yes

Practice Information

Address
36500 S GRATIOT AVE
CLINTON TOWNSHIP, MI, 480351772
Browse MI providers · Browse ZIP 48035
Phone
5867909003
Fax
5864933603
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in CLINTON TOWNSHIP, MI

Name Credential NPI
JIXIAN WU M.D. 1326032202
DR. JAMES E CLINTON D.O. 1558340356
CARL MICHAEL PESTA SR. DO 1235179201
EUGENIYA KHANUKOV MD 1326056946
BRYAN K EASTES MD 1336157866
DR. NINA HABIB REHMAN DO 1417968827
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.