Khandavalli, Sarat Chandra

Khandavalli, Sarat Chandra is an sole proprietor health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-9606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Khandavalli, Sarat Chandra can be contacted via phone (616) 252-7166.

Contact Information

Primary practice address
5900 Byron Center Ave Sw Wyoming MI 49519-9606
Phone: (616) 252-7166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301097445 Michigan

Profile Details

NPI number 1295996916
LBN Legal business name Khandavalli, Sarat Chandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2008
Last updated Jul 14th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295996916 NPPES
Michigan MEDICAID 11295996916

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