SHAMOLI KHANDERIA (NPI# 1043277395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043277395 |
| Entity Type | Individual |
| Full Name | SHAMOLI KHANDERIA |
| Credential | DO |
| Practice Address |
207 Fletcher St Ann Arbor MI 48109-1050 |
| Practice Telephone | 7347648320 |
| Practice Fax Number | 7347637505 |
| Mailing Telephone | 7347648320 |
| Mailing Fax Number | 7347637505 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101018559 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200871670 | 05 | |
| IN | MEDICARE - RAILROAD | P00471980 | 01 |
| Street Address |
207 FLETCHER ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345729 | Leyla Q Berry | Registered Nurse | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2017-06-06 |
| 1356882294 | Zubair Abdul Giga | Pharmacist | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2017-03-11 |
| 1265828321 | Sarah Jukaku | Psychiatry & Neurology | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2015-04-15 |
| 1215379557 | Andrea Mcclain Ransom | Registered Nurse | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2013-07-29 |
| 1316285281 | Brian Daniel Lent | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2013-01-28 |
| 1144576109 | Micah Adam Miller | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2012-07-27 |
| 1336427095 | Lisa Maletic | Registered Nurse | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2011-07-29 |
| 1043500689 | Monique Susan Scharf Steel | Nurse Practitioner | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2011-04-17 |
| 1710201835 | Tatyana Stephan Guifarro | Physician Assistant | 207 Fletcher St, University Health Service, Ann Arbor, MI 48109-1050 | 2010-03-18 |
| 1306081849 | Eileen Kathryn Dickinson | Physical Therapist | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2008-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164950481 | Ryan Kenneth Smith | Family Medicine | 4350 Jackson Rd Ste 230, Ann Arbor, MI 48103-1890 | 2017-05-31 |
| 1730620386 | Rachel Denny | Family Medicine | 4260 Plymouth Rd # B1-313, Ann Arbor, MI 48109-2700 | 2017-03-15 |
| 1730546722 | Scott Waclawik | Family Medicine | 24 Frank Lloyd Wright Dr Ste L2300, Ann Arbor, MI 48105-9484 | 2016-01-21 |
| 1477940294 | Advance Primary Care | Family Medicine | 1000 E Stadium Blvd Ste E, Ann Arbor, MI 48104-4616 | 2015-04-20 |
| 1598179822 | Kristina L Bahrou | Family Medicine | 3830 Packard St Ste 230, Ann Arbor, MI 48108-2273 | 2014-06-14 |
| 1164862249 | Gregory David Shumer | Family Medicine | 24 Frank Lloyd Wright Dr Lbby H, Ann Arbor, MI 48105-9484 | 2013-07-03 |
| 1629321096 | Rachel Leah Sabb | Family Medicine | 1000 Markbarry Dr, Ann Arbor, MI 48105-2869 | 2012-10-22 |
| 1336401124 | Sukhpreet Kaur Singh | Family Medicine | 2755 Carpenter Rd Ste 1s, Ann Arbor, MI 48108-1171 | 2012-06-08 |
| 1194002824 | Superior Physician Services Pllc | Family Medicine | 315 E Eisenhower Pkwy Ste 7, Ann Arbor, MI 48108-3329 | 2011-11-09 |
| 1629380530 | Lindsey V. Kotagal | Family Medicine | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2010-07-08 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.