# GENESEE ENT ASSOCIATES PC

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

## Provider details

- **NPI number:** 1992032338
- **Authorized official:** DR. KHALED M SHUKAIRY MD (OWNER)
- **Authorized official phone:** (810) 742-0225

## Contact information

- **Practice address:** 1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
- **Practice address phone:** (810) 742-0225
- **Practice address fax:** (810) 742-7990
- **Mailing address:** 1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
- **Mailing address phone:** (810) 742-0225
- **Mailing address fax:** (810) 742-7990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301085139 | MI | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 4301037118 | MI | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 1601000320 | MI | — |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 02/16/2011