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DR. SHYLAJA GONTINA-KHATIWALA MD
NPI 1205836137
Family Medicine - Addiction Medicine in South Lyon, MI

Active since July 21, 2005
9600 N RUSHTON RD, SOUTH LYON, MI 48178(248) 721-1510 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Nov 13, 2023 (2 updates tracked since 2023).

About Dr. Shylaja Gontina-khatiwala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHYLAJA GONTINA-KHATIWALA MD (NPI 1205836137) is an individual addiction medicine provider in South Lyon, Michigan, licensed in Michigan (4301076421) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1205836137
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. SHYLAJA GONTINA-KHATIWALACredential: MD
Location Address9600 N RUSHTON RDSouth Lyon, MI 48178-8849
Mailing Address9600 N Rushton RdSouth Lyon, MI 48178-8849 · (248) 721-1510
Phone(248) 721-1510
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1205836137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in MI · 4301076421
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301076421 (MI)
9600 N RUSHTON RD, South Lyon, MI 48178
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Other Identifiers 5

Other11438804MI · Caqh
Other1205836137MI · Bcbs Type 1 (ind) Npi #
Other5315052867MI · Cds #
Other4301076421MI · State License #
OtherP37000001MI · Medicare Ind Pin #

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSHTON RECOVERY LLC
Substance Abuse Rehabilitation Facility
9600 N RUSHTON RD
SOUTH LYON, MI 48178
Oakland County (734) 604-0411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shylaja Gontina-khatiwala's NPI number?

The NPI number for Shylaja Gontina-khatiwala is 1205836137. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Shylaja Gontina-khatiwala located?

Shylaja Gontina-khatiwala practices at 9600 N Rushton Rd, South Lyon, MI 48178. The listed phone number is (248) 721-1510.

What is Shylaja Gontina-khatiwala's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Shylaja Gontina-khatiwala was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.