Provider Demographics
NPI:1851509293
Name:OCHANI, MONIKA KISHORE (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:KISHORE
Last Name:OCHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONIKA
Other - Middle Name:KISHORE
Other - Last Name:OCHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:15420 19 MILE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6339
Mailing Address - Country:US
Mailing Address - Phone:586-286-4490
Mailing Address - Fax:586-263-0250
Practice Address - Street 1:16570 19 MILE RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1106
Practice Address - Country:US
Practice Address - Phone:586-286-4490
Practice Address - Fax:586-263-0250
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315035305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine