Organization
KHALIL M. KARADSHEH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL M KARADSHEH M.D. (PRESIDENT)
(248) 435-4462
Entity
Organization
Contact information
Practice address
30701 WOODWARD AVE, SUITE S-401, ROYAL OAK, MI 48073-0987
(248) 435-4462
(248) 435-4094
Mailing address
30701 WOODWARD AVE, SUITE S-401, ROYAL OAK, MI 48073-0987
(248) 435-4462
(248) 435-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036025
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0639192
MEDICARE
MI
05
—
1356428
—
MI
Enumeration date
10/10/2007
Last updated
01/17/2010
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