Individual
SUAD KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
804 SERVICE RD STE A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301096493
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301096493
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164738043
—
MI
Enumeration date
08/30/2010
Last updated
06/26/2023
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