Individual
KHAIRYA FATOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22101 MORROS ROAD, PATHOLOGY DEPARTMENT, DETROIT, DETROIT, MI 48236
(313) 343-3864
Mailing address
22101 MORROS ROAD, PATHOLOGY DEPARTMENT, DETROIT, DETROIT, MI 48236
(313) 343-3864
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4351046391
MI
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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