# RIAD G KHOURY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114050499
- **Authorized official:** RIAD G KHOURY MD (OWNER)
- **Authorized official phone:** (248) 987-6190

## Contact information

- **Practice address:** 28521 ORCHARD LAKE RD STE C, FARMINGTON HILLS, MI 48334-2934
- **Practice address phone:** (248) 987-6190
- **Practice address fax:** (248) 987-6193
- **Mailing address:** 28521 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48334-2934
- **Mailing address phone:** (248) 987-6190
- **Mailing address fax:** (248) 987-6193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 4301038502 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 05/06/2014