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

Shamoli Khanderia, DO

Individual provider Family Medicine Physician · NPI 1043277395

Shamoli Khanderia, DO is a Family Practice in Ann Arbor, Michigan. Qualified in 2002, 24 years ago. Practices with Regents of the University of Michigan-Uhs-University Health Ser, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

207 Fletcher St
Ann Arbor, MI 48109-1050
Phone: (734) 764-8320
Fax: (734) 763-7505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101018559 (MI)

Record details

NPI number1043277395
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESDecember 4, 2012
Mailing address207 Fletcher St, Ann Arbor, MI 48109-1050

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Regents Of The University Of Michigan-Uhs-University Health Ser — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ann Arbor