Individual ProviderPitambar KhanalInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W. 13 Mile Road, Corwell Health East William Beaumont University Hospit, Royal Oak, MI 48073(248) 551-3000PECOS EnrollmentBased on the most recent information from CMS, provider Pitambar Khanal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1669229761Provider TypeIndividualFull NameKhanal, PitambarCredentialMBBSGenderMaleSole ProprietorNoEnumeration Date5/6/2024Last Updated5/6/2024Contact InformationPractice LocationPractice Address3601 W. 13 Mile Road, Corwell Health East William Beaumont University Hospit, Royal Oak, MI 48073Phone(248) 551-3000Fax(248) 551-9425Mailing LocationMailing Address3601 W. 13 Mile Road, Gme Office, Corwell Health East William Beaumont Univer, Royal Oak, MI 48073PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4351052619Michigan