Khalil M. Karadsheh, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301036025 Issued in MI

Legal business name

KHALIL M. KARADSHEH, M.D., P.C.

Practice address

30701 Woodward Ave
Suite S-401
Royal Oak, MI 48073-0987

Phone

(248) 435-4462

Fax

(248) 435-4094

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Khalil M Karadsheh, M.D.

Title

President

Phone

(248) 435-4462

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263686400000",
    "number": "1356539746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "address_2": "SUITE S-401",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-435-4462",
            "fax_number": "248-435-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE",
            "address_2": "SUITE S-401",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730987",
            "telephone_number": "248-435-4462",
            "fax_number": "248-435-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALIL M. KARADSHEH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2010-01-17",
        "status": "A",
        "authorized_official_last_name": "KARADSHEH",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-435-4462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301036025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356428",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0639192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Kessler, MD
• Christopher W Keyes, MD
• Katherine Kezelian, LMSW
• Kim Ford Kezlarian, M.D.
• Naushaba Ishrath Khalid, M.D.
• Abdul-Majid Khan
• Adil Khan, M.D.
• Ali Khan
• Nadia Z Khan, DO
• Sarang Khan, MBBS

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.