Individual
GHATTAS ALKHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 MONROE ST STE 102, DEARBORN, MI 48124-3043
(313) 447-0888
(313) 458-4004
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(419) 291-4000
(419) 479-6102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.129208
OH
207R00000X
Internal Medicine Physician
4301111092
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215347000
—
MI
Enumeration date
05/01/2014
Last updated
11/03/2023
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