Shyam Lal Khanna, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SK045240 Issued in MI

Practice address

24621 W McNichols Rd
Detroit, MI 48219-3670

Phone

(313) 533-1300

Fax

(313) 533-1301

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shyam L. Khanna, M.D., P.C.

  • Clinic/Center
  • Franklin, MI
  • NPI 1235442401
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1487848735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32220 SCENIC LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251037",
            "telephone_number": "313-533-1300",
            "fax_number": "313-533-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24621 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193670",
            "telephone_number": "313-533-1300",
            "fax_number": "313-533-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "SHYAM",
        "middle_name": "LAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SK045240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3288873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Khanduja, M.D
• Suchit Khanduja, M.D
• Charanpreet Kaur Khangura, DO
• Raminder Kaur Khangura, M.D.
• Kanika Khanna, M.D
• Jenna Khansa, TLLP
• Satish R Khanzode, M.D.
• Deepti Kharkar, PT
• Bella Zaynab Khatib-Shahidi, MD
• Hiba Khatib

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.