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Individual

DR. SLEMAN A KHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15125 NORTHLINE RD, SOUTHGATE, MI 48195-2409
(734) 282-3138
(734) 282-1969
Mailing address
15125 NORTHLINE RD, SOUTHGATE, MI 48195-2409
(734) 282-3138
(734) 282-1969

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46311
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1108221861
BCBS
MI
05
2665894
MI
01
460000848
MEDICARERR
MI
Enumeration date
01/20/2006
Last updated
12/20/2020
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