Search › Michigan › 207R00000X
Anurag Khandavalli, DO
NPI 1902556277 · on the registry since 2022 · sole proprietor
Practice
- Address
- 36500 S Gratiot Ave
Clinton Township, MI 48035 - Phone
- (586) 790-9003
- Fax
- (586) 493-3603
- Organisation at this address
- Mclaren Macomb
Mclaren Macomb
Mclaren Macomb
Mclaren Macomb
Mclaren MacombInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 1000 Harrington St, Mount Clemens, MI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan