DR. Shylaja Gontina-Khatiwala, MD
NPI #1205836137 in South Lyon, Michigan
Provider Information
- NPI Number
- 1205836137
- Entity Type
- Individual
- Name
- DR. Shylaja Gontina-Khatiwala, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Addiction Medicine
- Credential
- MD
- Enumeration Date
- Jul 21, 2005
- Last Updated
- Sep 27, 2024
Practice Location
- Address
- 9600 N RUSHTON RD
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-8849
- Phone
- (248) 721-1510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Addiction Medicine — Addiction Medicine |
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