Healthcare Provider Details

I. General information

NPI: 1972679678
Provider Name (Legal Business Name): KHEIR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 ST ANTOINE BLVD SUITE 3P
DETROIT MI
48201
US

IV. Provider business mailing address

2159 N LOVINGTON APT 202
TROY MI
48083
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-3000
  • Fax:
Mailing address:
  • Phone: 248-890-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAGY R KHEIR
Title or Position: OWNER
Credential: M.D.
Phone: 248-890-0818