Individual
DR. MOHAMAD MONIR KHOULANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5080 VILLA LINDE PKWY, UNIT 4, FLINT, MI 48532-3411
(810) 720-5440
(810) 720-4670
Mailing address
5080 VILLA LINDE PKWY, UNIT 4, FLINT, MI 48532-3411
(810) 720-5440
(810) 720-4670
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MK056414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250457
BCN
MI
01
—
0986522
HEALTHPLUS
MI
01
—
1102504571
BCBSM
MI
05
—
4136160
—
MI
01
—
900002828
MEDICARE RAILROAD CARRIER
MI
01
—
C6999
MCARE
MI
Enumeration date
06/21/2006
Last updated
11/09/2007
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