MEDICARE: DR. HUSSEIN KHALIL GHARIB MD

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	207RH0003X	Hematology & Oncology Physician	4301508800	MI

General Provider Information

NPI Number	:	1790305399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUSSEIN KHALIL GHARIB MD

Provider Business Mailing Address
First Line	:	4700 SCHAEFER RD STE 260
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3743
Country	:	US
Telephone Number	:	947-523-4650
Fax Number	:	313-943-2914

Provider Business Practice Location Address
First Line	:	4700 SCHAEFER RD STE 260
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3743
Country	:	US
Telephone Number	:	947-523-4650
Fax Number	:	313-943-2914

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

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	06/01/2026

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