Organization
ALKHERSAN PLLC
Active
Other names
Raid Al-Khersan
Organization subpart
No
Provider details
NPI number
Authorized official
RAID AL-KHERSAN MD (OWNER)
(248) 849-4226
Entity
Organization
Contact information
Practice address
17327 STONEBROOK DR, NORTHVILLE, MI 48168-4325
(248) 849-4226
(248) 849-4240
Mailing address
17327 STONEBROOK DR, NORTHVILLE, MI 48168-4325
(248) 849-4226
(248) 849-4240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134221625
—
MI
Enumeration date
07/19/2010
Last updated
12/23/2010
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