| Dr Khaled M Shukairy, MD | |
|
1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | |
| (810) 742-0225 | |
| (810) 742-7990 |
| Full Name | Dr Khaled M Shukairy |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 54 Years |
| Location | 1501 S Center Rd, Burton, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518961879 | NPI | - | NPPES |
| 2126594 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 4301037118 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Flint | Flint, MI | Hospital |
| Hurley Medical Center | Flint, MI | Hospital |
| Genesys Regional Medical Center - Health Park | Grand blanc, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burton Urgent Care Pllc | 0345569406 | 2 |
| Genesee Ent Associates Pc | 1153463765 | 3 |
| Entity Name | Premier Professional Surgery Center Pc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1528039567 PECOS PAC ID: 4284733734 Enrollment ID: O20070625000038 |
| Entity Name | Genesee Ent Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992032338 PECOS PAC ID: 1153463765 Enrollment ID: O20100120000567 |
| Entity Name | Burton Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790174076 PECOS PAC ID: 0345569406 Enrollment ID: O20150512001855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Khaled M Shukairy, MD 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 Ph: (810) 742-0225 | Dr Khaled M Shukairy, MD 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 Ph: (810) 742-0225 |
Mohammad Kareem Shukairy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 S Center Rd, Burton, MI 48509 Phone: 810-742-0225 |