Individual
KHALED ALSHABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5A, DETROIT, MI 48201-2153
(313) 745-3320
(313) 993-0085
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301100265
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2012
Last updated
02/18/2022
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