| Khraizat Consulting Llc | |
|
7334 Orchard Ave Dearborn MI 48126-1310 | |
| (313) 574-3887 | |
| Not Available |
| Full Name | Khraizat Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7334 Orchard Ave, Dearborn, Michigan |
| Authorized Official Name and Position | Mohamad Samir Khraizat (OWNER) |
| Authorized Official Contact | 3135743887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khraizat Consulting Llc 7334 Orchard Ave Dearborn MI 48126-1310 Ph: (313) 574-3887 | Khraizat Consulting Llc 7334 Orchard Ave Dearborn MI 48126-1310 Ph: (313) 574-3887 |
| NPI Number | 1780317495 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 9638540909 |
|---|---|
| Medicare Enrollment ID | O20230124002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780317495 | NPI | - | NPPES |
| Provider Name | Hawra K Khraizat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801247747 PECOS PAC ID: 9133474802 Enrollment ID: I20180620002734 |
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