Individual
DR. MAHDI ABDELATIF SHKOUKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
18101 OAKWOOD BLVD, SUITE 402, DEARBORN, MI 48124-4089
(313) 253-0800
(313) 577-8555
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5974
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301086194
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301086194
MI
Other
Enumeration date
05/29/2007
Last updated
11/06/2013
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