MEDICARE: NAGY R KHEIR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301078711	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518900661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGY R KHEIR M.D.

Provider Business Mailing Address
First Line	:	6906 CHASE CT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3292
Country	:	US
Telephone Number	:	248-410-4997
Fax Number	:	844-269-7554

Provider Business Practice Location Address
First Line	:	15000 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1973
Country	:	US
Telephone Number	:	313-245-0649
Fax Number	:	313-839-6559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	02/17/2024

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