Provider Demographics
NPI:1053393702
Name:KARAMCHANDANI, MAHESH C (MD)
Entity type:Individual
Prefix:DR
First Name:MAHESH
Middle Name:C
Last Name:KARAMCHANDANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:BOX 42
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-341-8419
Mailing Address - Fax:269-341-8743
Practice Address - Street 1:3770 CAPITAL AVE SW
Practice Address - Street 2:SUITE A
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-9411
Practice Address - Country:US
Practice Address - Phone:269-441-1771
Practice Address - Fax:269-441-1773
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIMD050945208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
107550OtherPREFERRED CHOICES
14-30422OtherPHYSICIANS HEALTH PLAN
4656315OtherAETNA
P56096OtherBLUE CARE NETWORK
280000146OtherRAILROAD MEDICARE
MI2962398Medicaid
MI1053393702Medicaid
383125785103OtherCOMMUNITY CHOICE OF MI
101572OtherGREAT LAKES
9531910OtherCIGNA
MI1417961137OtherBCBSM - BRONSON
M012958OtherTRICARE
280000146OtherRAILROAD MEDICARE
MI0A36229001Medicare ID - Type Unspecified
4656315OtherAETNA