NPIMap

Organization Active NPI

Ghaida Khodher MD PC

  • Rheumatology Physician
  • Rochester Hills, MI
National Provider Identifier
1154492254
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301068771 Issued in MI
Legal business name
GHAIDA KHODHER MD PC
Practice address
2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609
Phone
(248) 922-0680
Fax
(248) 922-2820
NPI assigned
Nov 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ghaida Khodher, MD
Title
Owner
Phone
(248) 922-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 4301068771 MI Primary

Addresses

Primary practice location

2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609

Mailing address

2970 Crooks Rd
Suite a
Rochester Hills, MI 48309-3609
Phone (248) 922-0680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1154492254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 CROOKS RD",
            "address_2": "SUITE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-922-0680",
            "fax_number": "248-922-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 CROOKS RD",
            "address_2": "SUITE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-922-0680",
            "fax_number": "248-922-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAIDA KHODHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KHODHER",
        "authorized_official_first_name": "GHAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-922-0680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301068771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.