Individual
SHAFAQ KHAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00363
NC
207R00000X
Internal Medicine Physician
4301109144
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301109144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508J
BCBS
NC
05
—
5910700
—
NC
Enumeration date
08/09/2008
Last updated
02/14/2020
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