Khaled M Shukairy MD PC
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Burton, MI. Organization (NPI-2).
NPI number1386830651
StatusActive
Last updated in NPPESNov 23, 2009
Details
- NPI
- 1386830651
- Entity type
- Organization (NPI-2)
- Legal business name
- Khaled M Shukairy MD PC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Nov 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 4301037118 | MI | Yes |
Practice location
1501 S Center RdBldg B
Burton, MI 48509-1731
Phone 810-742-0225 · Fax 810-742-7990
Mailing address
1501 S Center RdBldg B
Burton, MI 48509-1731
Phone 810-742-0225 · Fax 810-742-7990
Authorized official
Khaled M Shukairy
President/Owner
8107420225
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