Individual
GHAIDA KHODHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11111 HALL RD, SUITE 300, UTICA, MI 48317-5711
(586) 323-2181
(586) 323-2184
Mailing address
2970 CROOKS RD, SUITE A, ROCHESTER HILLS, MI 48309-3609
(248) 844-1873
(248) 844-0219
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301068771
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106339112
BCBSM
MI
05
—
4193451
—
MI
Enumeration date
08/02/2006
Last updated
10/11/2011
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