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

Dr. Shylaja Gontina-Khatiwala, MD

Individual provider Family Medicine Physician · NPI 1205836137

Dr. Shylaja Gontina-Khatiwala, MD is a Family Medicine Physician in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9600 N Rushton Rd
South Lyon, MI 48178-8849
Phone: (248) 721-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 4301076421 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301076421 (MI)

Record details

NPI number1205836137
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 20, 2024

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