Dr Khalifa Reda PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

RK072714 Issued in MI

Legal business name

DR KHALIFA REDA PLLC

Doing business as

DR KHALIFA REDA PLLC

Practice address

950 N Cass Lake Rd
Suite 112
Waterford, MI 48328-2370

Phone

(248) 683-8050

Fax

(248) 683-8590

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Reda Khalifa, M.D.

Title

Owner

Phone

(248) 683-8050

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DR KHALIFA REDA PLLC Doing business as

Locations

Practitioners 1

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

• Abraham S Madany, M.D

  • Obstetrics & Gynecology Physician
  • Oak Park, MI
  • NPI 1235441858
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578678140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N JOHN DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274906",
            "telephone_number": "248-683-8050",
            "fax_number": "248-683-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD",
            "address_2": "SUITE 112",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-683-8050",
            "fax_number": "248-683-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KHALIFA REDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-683-8050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "RK072714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI NUMBER",
            "identifier": "1396787586",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4757476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR KHALIFA REDA PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Donohue, LLMSW
• Leonard Gordon Dorey, MD
• Pankajini N Doshi, MD
• Judd Dotson, RDCS-AE
• Diane Doucette
• Dr Yeras PLLC
• Dr. Delaney & Associates PC
• Dr. Ronda Marshall, D.C., L.L.C.
• Drake Wood Manor
• Timothy Drinkard, DO

• Obstetrics & Gynecology Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.