Individual
SHAUN KHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 267-2460
Mailing address
D128 W FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301078249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4991791
—
MI
Enumeration date
03/16/2007
Last updated
08/30/2007
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