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

Sarat Chandra Khandavalli, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1295996916

Sarat Chandra Khandavalli, MD is a Pathology in Wyoming, Michigan. Qualified in 2003, 23 years ago. Practices with Pathology Associates of Grand Rapids PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2008
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

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 — (616) 685-6258

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301097445 (MI)

Record details

NPI number1295996916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Pathology Associates Of Grand Rapids Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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