Individual
EVILEEN KHOSHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5968 MAJESTIC OAKS DR, COMMERCE TOWNSHIP, MI 48382-5118
(248) 747-1210
Mailing address
5968 MAJESTIC OAKS DR, COMMERCE TOWNSHIP, MI 48382-5118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005937
MI
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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