Khandavalli, Anurag

Khandavalli, Anurag is an sole proprietor health care provider with primary practice located at 36500 S Gratiot Ave , Clinton Township MI 48035-1772. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Khandavalli, Anurag can be contacted via phone (586) 790-9003.

Contact Information

Primary practice address
36500 S Gratiot Ave Clinton Township MI 48035-1772
Phone: (586) 790-9003
Fax: (586) 493-3603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5151015492 Michigan

Profile Details

NPI number 1902556277
LBN Legal business name Khandavalli, Anurag
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2022
Last updated Jun 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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