Organization
RIAD G KHOURY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIAD G KHOURY MD (OWNER)
(248) 987-6190
Entity
Organization
Contact information
Practice address
28521 ORCHARD LAKE RD STE C, FARMINGTON HILLS, MI 48334-2934
(248) 987-6190
(248) 987-6193
Mailing address
28521 ORCHARD LAKE RD, SUITE C, FARMINGTON HILLS, MI 48334-2934
(248) 987-6190
(248) 987-6193
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301038502
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050F353180
BCN GRP
MI
05
—
1114050499
—
MI
01
—
6805110001
DME PTAN
MI
Enumeration date
03/14/2007
Last updated
05/06/2014
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