Individual
REDA A KHALIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3675 HIGHLAND RD, SUITE 112, WATERFORD, MI 48328-2326
(248) 683-8050
(248) 683-8590
Mailing address
1268 LAKE CRESCENT DR, BLOOMFIELD HILLS, MI 48302-2814
(248) 683-8050
(248) 683-8590
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RK072714
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32730
BCBS
MI
05
—
4757476
—
MI
01
—
RK072714
LICENSE
MI
Enumeration date
06/12/2006
Last updated
04/26/2016
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