Individual
SHABBIR KHAMBATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35426 HARPER AVE, CLINTON TWP, MI 48035-3205
(586) 792-3891
Mailing address
35776 HARPER AVE, CLINTON TWP, MI 48035-3205
(586) 792-3891
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070791Q
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501160
BLUE CARE NETWORK - BCBS
MI
01
—
140631
GREAT LAKES
MI
05
—
4606945
—
MI
01
—
H42351
HAP
MI
Enumeration date
08/31/2006
Last updated
05/11/2016
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