Khanderia, Shamoli

Khanderia, Shamoli is an individual health care provider with primary practice located at 207 Fletcher St , Ann Arbor MI 48109-1050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khanderia, Shamoli can be contacted via phone (734) 764-8320.

Contact Information

Primary practice address
207 Fletcher St Ann Arbor MI 48109-1050
Phone: (734) 764-8320
Fax: (734) 763-7505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101018559 Michigan

Profile Details

NPI number 1043277395
LBN Legal business name Khanderia, Shamoli
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 4th, 2012 - about 13 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 1043277395 NPPES
Indiana MEDICAID 200871670
Indiana Other P00471980

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