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Individual

KHALED AWWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
5770 HIGHLAND RD STE A, WATERFORD, MI 48327-1877
(248) 775-7767
Mailing address
5770 HIGHLAND RD STE A, WATERFORD, MI 48327-1877
(248) 775-7767

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704330112
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704330112
MI

Other

Enumeration date
10/01/2025
Last updated
03/24/2026
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