Individual
ARYA KHATIWODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2900 HANNAH BLVD STE 104, EAST LANSING, MI 48823-5380
(517) 364-8118
(517) 364-8119
Mailing address
804 SERVICE RD, # A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101020314
MI
Other
Enumeration date
05/31/2013
Last updated
10/25/2018
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