ANURAG KHANDAVALLI DO
NPI 1902556277
Internal Medicine in Clinton Township, MI

Active since March 28, 2022
36500 S GRATIOT AVE, CLINTON TOWNSHIP, MI 48035(586) 790-9003(586) 493-3603 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anurag Khandavalli Do NPPES

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

ANURAG KHANDAVALLI DO (NPI 1902556277) is an individual internal medicine provider in Clinton Township, Michigan, licensed in Michigan (5151015492) and active in the NPI registry since March 2022. He maintains a secondary practice location in Mount Clemens.

NPPES Registry Identity

NPI1902556277
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANURAG KHANDAVALLICredential: DO
Location Address36500 S GRATIOT AVEClinton Township, MI 48035-1772
Mailing Address36500 S Gratiot AveClinton Township, MI 48035-1772 · (586) 790-9003 · Fax (586) 493-3603
Fax(586) 493-3603
Sole ProprietorYes
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1902556277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5151015492
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
36500 S GRATIOT AVE, Clinton Township, MI 48035

Secondary Practice Location 1

Location 11000 Harrington StMount Clemens, MI 48043-2920 · Phone (586) 493-5749 · Fax (586) 493-3250

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035

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 Anurag Khandavalli's NPI number?

The NPI number for Anurag Khandavalli is 1902556277. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Anurag Khandavalli located?

Anurag Khandavalli practices at 36500 S Gratiot Ave, Clinton Township, MI 48035. The listed phone number is (586) 790-9003.

What is Anurag Khandavalli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Anurag Khandavalli was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.