| Ashraf Khouchen, | |
|
19925 Vernier Rd Ste 200, Harper Woods, MI 48225-1486 | |
| (313) 468-8124 | |
| Not Available |
| Full Name | Ashraf Khouchen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 19925 Vernier Rd Ste 200, Harper Woods, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780468710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AG07230055 (Michigan) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Entity Name | Metro Medical Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083359913 PECOS PAC ID: 3870971815 Enrollment ID: O20220603001794 |
| Entity Name | American Visiting Providers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407697634 PECOS PAC ID: 3577000702 Enrollment ID: O20240805003664 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashraf Khouchen, 23252 Edward St, Dearborn, MI 48128-1358 Ph: (313) 516-6255 | Ashraf Khouchen, 19925 Vernier Rd Ste 200, Harper Woods, MI 48225-1486 Ph: (313) 468-8124 |
Dr. Judy L Sudo, DNP, MSA, ACAGNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19840 Harper Ave, Harper Woods, MI 48225 Phone: 630-832-1775 | |
Ashley Lynette Bowden, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19701 Vernier Rd, Suite 150, Harper Woods, MI 48225 Phone: 313-881-4900 | |
Dr. Wujungbuen Charles Vumomse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19840 Harper Ave, Harper Woods, MI 48225 Phone: 313-881-9556 | |
Ms. Maureen M Murphy, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20225 Beaconsfield St, Harper Woods, MI 48225 Phone: 947-524-2700 | |
Ms. Necola Selena Table, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18985 Woodcrest St, Harper Woods, MI 48225 Phone: 313-978-8696 |