MEDICARE: DR. CAROLINE D ZOHOURY DO

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	207Q00000X	Family Medicine Physician	5101009948	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871574533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE D ZOHOURY DO

Provider Business Mailing Address
First Line	:	115 N ROCHESTER RD
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-1743
Country	:	US
Telephone Number	:	248-588-0400
Fax Number	:	248-616-0846

Provider Business Practice Location Address
First Line	:	115 N ROCHESTER RD
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-1743
Country	:	US
Telephone Number	:	248-588-0400
Fax Number	:	248-616-0846

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	10/09/2007

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Directions to “ DR. CAROLINE D ZOHOURY DO” Practice Location

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