Khambatta, Sherezade
Khambatta, Sherezade is an individual health care provider with primary practice located at 50505 Schoenherr Rd Ste 320, Shelby Township MI 48315-3141. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Khambatta, Sherezade can be contacted via phone (586) 580-3062.Contact Information
Primary practice address
50505 Schoenherr Rd Ste 320
Shelby Township MI 48315-3141
Phone: (586) 580-3062
Fax: (586) 580-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5101019075 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 5101019075 | Michigan |
Profile Details
| NPI number | 1790949741 |
|---|---|
| LBN Legal business name | Khambatta, Sherezade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Oct 12th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790949741 | NPPES |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | 1790949741 | |
| Minnesota | Other | P00839001 |
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