Organization
CHAKUDAKU, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED A KHAN MBA (PRESIDENT/CEO)
(248) 787-6699
Entity
Organization
Contact information
Practice address
1401 ROSA PARKS BLVD, DETROIT, MI 48216-1953
(313) 309-9900
(248) 232-1517
Mailing address
20755 GREENFIELD RD STE 502, SOUTHFIELD, MI 48075-5408
(248) 787-6699
(248) 232-1517
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2010
Last updated
12/11/2010
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