Individual
KIMIA KHATIB-SHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24084 BROADMOOR PARK LN, NOVI, MI 48374-4317
(248) 982-1001
Mailing address
24084 BROADMOOR PARK LN, NOVI, MI 48374-4317
(248) 982-1001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351013853
MI
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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