Individual
ANTHONY MUKHLIS KHASHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51221 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-2708
(586) 263-2300
(586) 323-4448
Mailing address
51221 SCHOENHERR RD STE 201, SHELBY TOWNSHIP, MI 48315-2718
(586) 323-4450
(586) 323-4448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301504457
MI
Other
Enumeration date
05/11/2018
Last updated
05/09/2023
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