Individual
MOHAMMAD KOUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 E 12 MILE RD STE 112, SAINT CLAIR SHORES, MI 48081-1156
(586) 314-0080
(877) 673-3562
Mailing address
50505 SCHOENHERR RD STE 290, SHELBY TWP, MI 48315-3141
(586) 314-0080
(877) 673-3562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301114053
MI
207R00000X
Internal Medicine Physician
Primary
MD454845
PA
Other
Enumeration date
06/28/2011
Last updated
04/28/2026
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