Anurag Khandavalli, DO Valid NPI

Individual provider · Internal Medicine Physician · Clinton Township, MI

NPI

1902556277

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

5151015492 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2022-03-28

Last updated

2022-06-27