| Rana Khoury Md Pc | |
|
3736 Pelham St Dearborn MI 48124-3832 | |
| (313) 565-5101 | |
| (313) 565-8001 |
| Full Name | Rana Khoury Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3736 Pelham St, Dearborn, Michigan |
| Authorized Official Name and Position | Rana Khoury (OWNER) |
| Authorized Official Contact | 3135655101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rana Khoury Md Pc 3736 Pelham St Dearborn MI 48124-3832 Ph: (313) 565-5101 | Rana Khoury Md Pc 3736 Pelham St Dearborn MI 48124-3832 Ph: (313) 565-5101 |
| NPI Number | 1225232655 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 12/15/2010 |
| Medicare PECOS PAC ID | 3476625260 |
|---|---|
| Medicare Enrollment ID | O20080711000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225232655 | NPI | - | NPPES |
| 1225232655 | Medicaid | MI | |
| 080H239740 | Other | BCN GROUP | |
| 080H239740 | Other | MI | BCBS GROUP |
| DP0222 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301063718 (Michigan) | Primary |
| Provider Name | Rana Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861562365 PECOS PAC ID: 9830261072 Enrollment ID: I20080703000597 |
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