Individual
DR. KHALED M SHUKAIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Mailing address
1501 S CENTER RD, BLDG B, BURTON, MI 48509-1731
(810) 742-0225
(810) 742-7990
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
4301037118
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126594
—
MI
Enumeration date
06/02/2005
Last updated
02/16/2011
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