Individual
DEVYANI S KHAMBETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
(248) 682-0026
Mailing address
2482 WICKFIELD RD, W BLOOMFIELD, MI 48323-3269
(248) 682-3300
(248) 682-0026
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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