Organization
FUAD KHAZNEHKATBI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY REESE (OFFICE MANAGER)
(248) 335-8610
Entity
Organization
Contact information
Practice address
43252 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5044
(248) 335-8610
(248) 335-5942
Mailing address
43252 WOODWARD AVE, SUITE 100, BLOOMFIELD HILLS, MI 48302-5044
(248) 335-8610
(248) 335-5942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FK031332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093111
—
MI
Enumeration date
05/26/2010
Last updated
12/12/2011
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