Individual
SALIL S KHANDWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22731 NEWMAN ST STE 200, DEARBORN, MI 48124-2023
(313) 982-0200
(313) 982-0500
Mailing address
22731 NEWMAN STREET, SUITE 200, DEARBORN, MI 48124
(313) 982-0200
(313) 982-0500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301080830
MI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
4301080830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0825575
BCBSM
MI
01
—
14370
MCARE
MI
05
—
4851235
—
MI
01
—
7092103
AETNA
MI
01
—
G62090
HAP
MI
01
—
P00318801
RAILROAD MEDICARE
MI
Enumeration date
03/14/2006
Last updated
07/16/2024
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