Healthcare Provider Details

I. General information

NPI: 1497836548
Provider Name (Legal Business Name): NABIL E. KHOURY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD
WEST BLOOMFIELD MI
48323
US

IV. Provider business mailing address

HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD
WEST BLOOMFIELD MI
48323
US

V. Phone/Fax

Practice location:
  • Phone: 248-661-6450
  • Fax: 248-661-6649
Mailing address:
  • Phone: 248-661-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301054261
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301054261
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: