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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518961879 NPPES
Michigan MEDICAID 2126594

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