Individual
HICHAM KHALIL KRAYEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 W OUTER DR, SINAI-GRACE HOSPITAL, PULMONARY MEDICINE, SUITE M444, DETROIT, MI 48235-2624
(313) 966-3075
(313) 966-4498
Mailing address
6071 W OUTER DR, SINAI-GRACE HOSPITAL, PULMONARY MEDICINE, SUITE M444, DETROIT, MI 48235-2624
(313) 966-3075
(313) 966-4498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074293
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301074293
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301074293
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301074293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235178112
—
MI
Enumeration date
06/06/2006
Last updated
06/02/2021
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