Individual
MR. KHALED HAMMADI JANOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 ST ANTOINE ST, UHC 9C, DETROIT, MI 48201
(313) 745-4832
Mailing address
4201 ST. ANTOINE ST, UHC 9C, DETROIT, MI 48201
(313) 745-4832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-16394
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/20/2017
Last updated
05/13/2022
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