Healthcare Provider Details

I. General information

NPI: 1588078901
Provider Name (Legal Business Name): AAIRS DIAGNOSTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W. BIG BEAVER STE 107
TROY MI
48084
US

IV. Provider business mailing address

1500 W. BIG BEAVER STE 107
TROY MI
48084
US

V. Phone/Fax

Practice location:
  • Phone: 248-689-1000
  • Fax: 248-689-5711
Mailing address:
  • Phone: 248-689-1000
  • Fax: 248-689-5711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number4301081520
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number4301081520
License Number StateMI

VIII. Authorized Official

Name: DR. MICHEL T. ALKHALIL
Title or Position: OWNER
Credential: MD.
Phone: 248-689-1000