| Mounir Khaled, MD | |
|
8944 Macomb St, Grosse Ile, MI 48138-2089 | |
| (734) 675-0705 | |
| (734) 675-0747 |
| Full Name | Mounir Khaled |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 8944 Macomb St, Grosse Ile, 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 |
|---|---|---|---|
| 1760678809 | NPI | - | NPPES |
| 1760678809 | Medicaid | MI | |
| 1108298981 | Other | MI | BCBS IND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301091157 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Dearborn Hospital | Dearborn, MI | Hospital |
| Entity Name | Downriver Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205073285 PECOS PAC ID: 8325104813 Enrollment ID: O20090309000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Mounir Khaled, MD 8944 Macomb St, Grosse Ile, MI 48138-2089 Ph: (734) 675-0705 | Mounir Khaled, MD 8944 Macomb St, Grosse Ile, MI 48138-2089 Ph: (734) 675-0705 |
Dr. Joyce K Vaclav, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25803 Dreschfield Ave, Grosse Ile, MI 48138 Phone: 734-692-6693 Fax: 734-692-6693 |
Dr. Malcolm Edward Williamson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8432 Thorntree Drive, Grosse Ile, MI 48138 Phone: 734-675-3319 Fax: 734-692-5061 |
Dr. Louis Alfred Petrucco, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9966 Hawthorne Glen Dr, Grosse Ile, MI 48138 Phone: 734-552-1561 |