Individual
KHALED HARMOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 WEST OUTER DRIVE, DETROIT, MI 48235
(313) 966-7437
Mailing address
123 N, 40TH ST. APT: 15, OMAHA, NE 68131
(346) 448-7949
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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