Individual
MIRA KHEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3031 W GRAND BLVD OFC 7TH, DETROIT, MI 48202-3046
(313) 916-1023
Mailing address
3031 W GRAND BLVD OFC 7TH, DETROIT, MI 48202-3046
(313) 916-1023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4351050864
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
05/14/2023
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