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NPI Code Detail

MEDICARE: RAZAN ELKHALI

MEDICARE: RAZAN ELKHALI
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134016900
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAZAN ELKHALI
Provider Business Mailing Address
First Line : 20225 ANN ARBOR TRL
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2690
Country : US
Telephone Number : 313-254-2539
Fax Number : 313-395-2198
Provider Business Practice Location Address
First Line : 4953 SCHAEFER RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-3260
Country : US
Telephone Number : 657-444-9002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 04/14/2026

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Directions to “ RAZAN ELKHALI ” Practice Location

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