Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anurag Khandavalli, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902556277

Anurag Khandavalli, DO is a Student in an Organized Health Care Education/Training Program in Clinton Township, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

36500 S Gratiot Ave
Clinton Township, MI 48035-1772
Phone: (586) 790-9003
Fax: (586) 493-3603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Harrington St, Mount Clemens, MI 48043-2920 — (586) 493-5749

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5151015492 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902556277
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 28, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

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