Individual
DR. THARAYIL KHADEEJA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23077 GREENFIELD RD, SUITE 253, SOUTHFIELD, MI 48075-3709
(248) 559-5950
(248) 559-2103
Mailing address
8229 LAKE CREST DR, YPSILANTI, MI 48197-6754
(734) 709-3750
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301058445
MI
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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