| Khadhory Mercy Pllc | |
|
35200 Dequindre Rd Ste 600 Sterling Heights MI 48310-4841 | |
| (586) 786-8800 | |
| (586) 722-7446 |
| Full Name | Khadhory Mercy Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35200 Dequindre Rd Ste 600, Sterling Heights, Michigan |
| Authorized Official Name and Position | Ghazawan K Kashat (PRESIDENT) |
| Authorized Official Contact | 5867868800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khadhory Mercy Pllc 35200 Dequindre Rd Ste 600 Sterling Heights MI 48310-4841 Ph: (586) 786-8800 | Khadhory Mercy Pllc 35200 Dequindre Rd Ste 600 Sterling Heights MI 48310-4841 Ph: (586) 786-8800 |
| NPI Number | 1205163060 |
|---|---|
| Provider Enumeration Date | 11/14/2009 |
| Last Update Date | 03/29/2022 |
| Medicare PECOS PAC ID | 4486041787 |
|---|---|
| Medicare Enrollment ID | O20220504001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205163060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301083271 (Michigan) | Primary |
| Provider Name | Ghazawan K Kashat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326250754 PECOS PAC ID: 7416046230 Enrollment ID: I20071203000067 |
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