Active NPI
Pitambar Khanal, MBBS
- Internal Medicine Physician
- Royal Oak, MI
National Provider Identifier
1669229761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4351052619
- Practice address
- 3601 W. 13 Mile Road
Gme Office, Beaumont Hospital
Royal Oak, MI 48073 - Phone
- (248) 551-3000
- Fax
- (248) 551-9425
- NPI assigned
- May 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4351052619 | MI | Primary |
Addresses
Primary practice location
3601 W. 13 Mile Road
Gme Office, Beaumont Hospital
Royal Oak, MI 48073
Mailing address
3601 W. 13 Mile Road
Gme Office, Corwell Health East William Beaumont Univer
Royal Oak, MI 48073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351052619 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1669229761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE ROAD",
"address_2": "GME OFFICE, CORWELL HEALTH EAST WILLIAM BEAUMONT UNIVER",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE ROAD",
"address_2": "GME OFFICE, BEAUMONT HOSPITAL",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-551-3000",
"fax_number": "248-551-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANAL",
"first_name": "PITAMBAR",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-06",
"last_updated": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4351052619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.