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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1043277395 | NPPES |
| Indiana | MEDICAID | 200871670 | |
| Indiana | Other | P00471980 |
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