DR. KHALED M SHUKAIRY (NPI# 1518961879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961879 |
| Entity Type | Individual |
| Full Name | DR. KHALED M SHUKAIRY |
| Credential | M.D. |
| Practice Address |
1501 S Center Rd Bldg B Burton MI 48509-1731 |
| Practice Telephone | 8107420225 |
| Practice Fax Number | 8107427990 |
| Mailing Telephone | 8107420225 |
| Mailing Fax Number | 8107427990 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
4301037118 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2126594 | 05 |
| Street Address |
1501 S CENTER RD BLDG B |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245881374 | Alanee Md Pllc | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-09-20 |
| 1972155133 | Samir Basata Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2019-07-09 |
| 1578061040 | Christine Marie Johnson | Physical Therapy Assistant | 1501 S Center Rd, Burton, MI 48509-1731 | 2018-01-30 |
| 1821532722 | Roger Villarin | Physical Therapist | 1501 S Center Rd, Building A, Burton, MI 48509-1731 | 2016-12-12 |
| 1154865046 | Centrum Physical Therapy PC | Clinic/Center | 1501 S Center Rd, Building A, Burton, MI 48509-1731 | 2016-12-12 |
| 1093171191 | Samir Basata Md | Urology | 1501 S Center Rd, Building B, Burton, MI 48509-1731 | 2016-01-06 |
| 1144511312 | Genesee Ent Associates, PC | Hearing Aid Equipment | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2011-04-22 |
| 1548576259 | Shukairy Associates, LLC | Home Health | 1501 S Center Rd, Burton, MI 48509-1731 | 2010-08-19 |
| 1629305057 | Abdul Tabbaa Md PC | Urology | 1501 S Center Rd, Burton, MI 48509-1731 | 2009-11-05 |
| 1992032338 | Genesee Ent Associates PC | Audiologist-Hearing Aid Fitter | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386830651 | Khaled M Shukairy Md PC | Otolaryngology | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851720312 | Prasad J Thottam | Otolaryngology | 7001 Ochard Lake Road, 320c, West Bloomfield, MI 48322-3607 | 2013-11-05 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| 1336362722 | Danny Kewson M.d. P.c | Otolaryngology | 2454 Monroe St Ste A, Dearborn, MI 48124 | 2007-04-11 |
| 1528145935 | Demello Medical Clinic | Otolaryngology | 39379 Garfield Rd, Cilnton Township, MI 48038 | 2006-11-01 |
| 1508979436 | Russell Wayne Craig | Otolaryngology | 17901 Hall Rd, Macomb Twp, MI 48044 | 2006-08-16 |
| 1942218177 | Paul E Lomeo | Otolaryngology | 268 W Seminole Rd, Muskegon, MI 49444-3733 | 2006-08-03 |
| 1891715991 | Phillips H Winter | Otolaryngology | 577 Michigan Avenue, Suite 101, Holland, MI 49423 | 2006-07-20 |
| 1336191139 | Robert Louis Borenitsch | Otolaryngology | 5200 State St, Saginaw, MI 48603-3713 | 2006-05-17 |
| 1124007539 | Ted H Schwartzenfeld | Otolaryngology | 27483 Dequindre Rd Ste 201, Madison Heights, MI 48071-5711 | 2006-01-13 |
| 1851390066 | Michael Andrew Freedman | Otolaryngology | 14600 King Rd Ste D, Riverview, MI 48193-7952 | 2005-07-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KHALED M SHUKAIRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.