Individual
ADEEL KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
461 WEST HURON, PONTIAC, MI 48341-1651
(248) 857-7515
(734) 677-7407
Mailing address
PO BOX 67000, DEPT 160901, DETROIT, MI 48267-1609
(586) 493-8098
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
068657
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301068657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01133
BCBS GROUP
MI
05
—
4274881
—
MI
05
—
4636536
—
MI
01
—
CI8050
MEDICARE RR GROUP PIN
MI
Enumeration date
07/17/2006
Last updated
03/15/2011
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