Raid Al Khersan MD

NPI 1134221625 - Internal Medicine - 207R00000X

NPI Details
NPI 1134221625
Gender Male
Enumeration Date 09/04/2006
Last Updated 01/26/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
26850 PROVIDENCE PKWY
SUITE 505
NOVI MI, 48374-1213, US
Phone (248) 465-4163
Fax (248) 662-4411
Business Location
26850 PROVIDENCE PKWY
SUITE 505
NOVI MI, 48374-1213, US
Phone (248) 465-4163
Fax (989) 348-0059
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301072465
Remove 1134221625 NPI Number
 

According to our database, Raid Al Khersan MD NPI is 1134221625, taxonomy code is 207R00000X and license number is 4301072465, license state is located at Michigan. Raid Al Khersan MD physically located at 26850 Providence Pkwy, Novi MI, 48374-1213. NPI Number Raid Al Khersan MD has the Individual type.

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1134221625 NPI number is provided on an as is basis without warranty of any kind. 1134221625 is maintained by the National Plan & Provider Enumeration System. The contents of Raid Al Khersan MD are for informational purposes only.