Individual provider · NPI-1

Dr. Khaled Abdul-Nour, M.D.

Internal Medicine, Cardiovascular Disease · Detroit, MI

NPI number1184792608
StatusActive
Last updated in NPPESMar 7, 2022

Details

NPI
1184792608
Entity type
Individual (NPI-1)
Name
Dr. Khaled Abdul-Nour
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 1, 2006
Certification date
Mar 7, 2022
Last updated
Mar 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease4301059763MIYes
207R00000X Internal Medicine4301059763MI

Practice location

Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202

Phone 313-916-3070 · Fax 313-916-8901

Mailing address

Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202

Phone 313-916-9106

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