Organization
SHUKAIRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED M SHUKAIRY M.D. (PRESIDENT)
(810) 742-0225
Entity
Organization
Contact information
Practice address
1501 S CENTER RD BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Mailing address
1501 S CENTER RD BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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