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Individual

DEVYANI S KHAMBETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301064393
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0635263
BCBSM
MI
01
114546
CARE CHOICES
MI
01
152891
GREAT LAKES
MI
05
4817921
MI
05
4817940
MI
01
609494
HAP
MI
01
997209
HEALTH PLUS
MI
01
C5278
HEALTH PLUS
MI
Enumeration date
05/10/2006
Last updated
07/03/2012
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