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Anthony Mukhlis Khashola, MD

Family Medicine in Shelby Township, MI. Individual provider (NPI-1).

NPI number1861982175
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1861982175
Entity type
Individual (NPI-1)
Name
Anthony Mukhlis Khashola
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2018
Certification date
May 9, 2023
Last updated
May 9, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301504457MIYes

Practice location

51221 Schoenherr Rd
Shelby Township, MI 48315-2708

Phone 586-263-2300 · Fax 586-323-4448

Mailing address

51221 Schoenherr Rd Ste 201
Shelby Township, MI 48315-2718

Phone 586-323-4450 · Fax 586-323-4448

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Shelby Township, MI

All 25 Family Medicine Physician providers in Shelby Township · All 1,560 providers in Shelby Township

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