IndividualActive
Shylaja Gontina-Khatiwala, MD
NPI 1205836137 · Addiction Medicine (Family Medicine) Physician · South Lyon, MI
Provider details
- NPI number
- 1205836137
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301076421 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9600 N Rushton Rd
South Lyon, MI 48178-8849
Phone: (248) 721-1510
Street-level locationGet directions
Mailing address
9600 N Rushton Rd
South Lyon, MI 48178-8849
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2024-09-27
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.