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 | American Home Visiting Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548894413 PECOS PAC ID: 2961831698 Enrollment ID: O20200401001502 |
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 |
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 | |
Elizabeth Harvey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20480 Vernier Rd, Harper Woods, MI 48225 Phone: 248-938-0141 | |
Ms. Necola Selena Table, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18985 Woodcrest St, Harper Woods, MI 48225 Phone: 313-978-8696 |