Shukairy, Khaled M
Shukairy, Khaled M is an sole proprietor health care provider with primary practice located at 1501 S Center Rd Bldg B, Burton MI 48509-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Shukairy, Khaled M can be contacted via phone (810) 742-0225.Contact Information
Primary practice address
1501 S Center Rd Bldg B
Burton MI 48509-1731
Phone: (810) 742-0225
Fax: (810) 742-7990
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 4301037118 | Michigan |
Profile Details
NPI number | 1518961879 |
---|---|
LBN Legal business name | Shukairy, Khaled M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2005 |
Last updated | Feb 16th, 2011 - about 13 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 | 1518961879 | NPPES |
Michigan | MEDICAID | 2126594 |
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