SHEREZADE KHAMBATTA (NPI# 1790949741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790949741 |
| Entity Type | Individual |
| Full Name | SHEREZADE KHAMBATTA |
| Credential | DO |
| Practice Address |
1165 S Linden Rd Flint MI 48532-3406 |
| Mailing Address |
50505 Schoenherr Rd Ste 320 Shelby Township MI 48315-3141 |
| Practice Telephone | 8107325400 |
| Practice Fax Number | 8107331624 |
| Mailing Telephone | 5865803062 |
| Mailing Fax Number | 5865803143 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 51965 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
5101019075 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1790949741 | 05 | |
| IA | ENROLLED | 05 | |
| MN | RAILROAD MEDICARE | P00839001 | 01 |
| MN | ENROLLED | 05 |
| Street Address |
1165 S LINDEN RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376532556 | Ethiraj Govinda Raj | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2005-10-19 |
| 1639451693 | J M Hilliard | Physician Assistant | 1165 S Linden Rd, Flint, MI 48532-3406 | 2011-09-15 |
| 1063790467 | Sagar Mallikethi Lepakshi Reddy | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532 | 2011-08-02 |
| 1578898698 | Ct Center of Flint, Pllc | Clinic/Center | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-10-07 |
| 1982834826 | Ankush Moza | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2009-07-24 |
| 1457586083 | Great Lakes Teleradiology Ventures LLC | Specialist | 1165 S Linden Rd, Ste. B, Flint, MI 48532 | 2009-05-27 |
| 1740434851 | Premier Medical Clinics PC | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532-3406 | 2008-11-17 |
| 1821272840 | David Auld Howell | Physician Assistant | 1165 S Linden Rd, Suite A, Flint, MI 48532-3406 | 2007-12-27 |
| 1780724468 | Mid-michigan Cardiology Associates Plc | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2007-02-08 |
| 1205842242 | Lakshmana Rao Ayyagari | Specialist | 1165 S Linden Rd, Flint, MI 48532-3406 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528606241 | Cypress Cardiology Pa | Internal Medicine | 1286 S Linden Rd Ste A, Flint, MI 48532-3457 | 2019-12-12 |
| 1700337227 | Prime Vascular Center Pllc | Internal Medicine | G-5103 Miller Rd, Flint, MI 48507-1043 | 2016-10-19 |
| 1063790467 | Sagar Mallikethi Lepakshi Reddy | Internal Medicine | 1165 S Linden Rd, Flint, MI 48532 | 2011-08-02 |
| 1861615452 | Prime Medical Group PC | Internal Medicine | 4455 Town Center Pkwy, Suite A, Flint, MI 48532-3425 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342757 | Michael Ira Klein | Internal Medicine | 111 Elm St Apt 331, Birmingham, MI 48009-6346 | 2018-10-16 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1003319096 | Michigan Canton Cardiology Associates Pllc | Internal Medicine | 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 | 2018-03-15 |
| 1003366675 | K Heart & Vascular Institute, Pllc | Internal Medicine | 33376 Dequindre Road, Sterling Heights, MI 48310-5966 | 2016-10-07 |
| 1255738472 | Ashok Kondur Md PC | Internal Medicine | 4160 John R St Ste 525, Detroit, MI 48201-2022 | 2014-12-03 |
| 1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
| 1477845824 | Ehk Endovascular Pllc | Internal Medicine | 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 | 2011-05-04 |
| 1134410970 | Erik Henry Howell | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154 | 2011-04-27 |
| 1154554590 | Assad Sattar | Internal Medicine | 6050 Greenfield Rd Ste 101, Dearborn, MI 48126-6004 | 2009-09-02 |
| 1164685665 | Javier Valle | Internal Medicine | 5325 Elliott Dr Fl 2, Ypsilanti, MI 48197-8633 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHEREZADE KHAMBATTA.
| 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.