Imam, Khaled
Imam, Khaled is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste. 108, Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Imam, Khaled can be contacted via phone (248) 551-1756.Contact Information
Primary practice address
3535 W 13 Mile Rd Ste. 108
Royal Oak MI 48073-6710
Phone: (248) 551-1756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301047866 | Michigan |
Profile Details
| NPI number | 1902865454 |
|---|---|
| LBN Legal business name | Imam, Khaled |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 21st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902865454 | NPPES |
| Michigan | Other | 110F376980 | BCBSM |
| Michigan | MEDICAID | 2947749 | BCBSM |
Popular Providers
-
Voytas, John
3535 W 13 Mile Rd Ste 108, Royal Oak MI 48073-6769 -
Rowland, Frederick
1200 Centre St Department Of Medicine, Roslindale MA 02131-1000 -
Elsheikh, Shaima Mudathir
3577 W 13 Mile Rd # 202 , Royal Oak MI 48073-6710 -
Pala, Gela
3535 W 13 Mile Rd Ste. 108, Royal Oak MI 48073-6710 -
Murphy, Kathleen M
233 Baldwin Ave , Royal Oak MI 48067-1874 -
Kulp, Jeffrey T
2350 International Cir , Colorado Springs CO 80910 -
Toofanny, Nizaamuddeen
3535 W 13 Mile Rd Ste 108, Royal Oak MI 48073-6769 -
Ghosh, Subir
832 Hwy 15 North , Jackson KY 41339-8601