Alkhersan PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ALKHERSAN PLLC

Doing business as

Raid Al-Khersan

Practice address

17327 Stonebrook Dr
Northville, MI 48168-4325

Phone

(248) 849-4226

Fax

(248) 849-4240

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Raid Al-Khersan, MD

Title

Owner

Phone

(248) 849-4226

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Raid Al-Khersan Doing business as

Locations

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1396058442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 STONEBROOK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684325",
            "telephone_number": "248-849-4226",
            "fax_number": "248-849-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 STONEBROOK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684325",
            "telephone_number": "248-849-4226",
            "fax_number": "248-849-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALKHERSAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "AL-KHERSAN",
        "authorized_official_first_name": "RAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-849-4226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134221625",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raid Al-Khersan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Northville, MI
• Providers in Northville, 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 Dec 23, 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.