Organization Active NPI

M M Khoulani MD PC

  • Hematology & Oncology Physician
  • Flint, MI
National Provider Identifier
1699956938
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
M M KHOULANI MD PC
Practice address
5080 Villa Linde Pkwy
Unit 4
Flint, MI 48532-3423
Phone
(810) 720-5440
NPI assigned
Nov 15, 2007
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Mohamad Monir Khoulani, M.D.NPI 1003852856
Title
President
Phone
(810) 720-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

5080 Villa Linde Pkwy
Unit 4
Flint, MI 48532-3423

Mailing address

5080 Villa Linde Pkwy
Unit 4
Flint, MI 48532-3423
Phone (810) 720-5440

Other identifiers 5

IdentifierTypeStateIssuer
0250457OtherMIBCN
C6999OtherMIMCARE
0986522OtherMIHEALTHPLUS
4136160MedicaidMI
1102504571OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203000529 MI Part B Supplier - Clinic/Group Practice 3476504762 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

5080 Villa Linde Pkwy
Ste 4
Flint, MI 48532
Phone (810) 720-5440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1699956938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 VILLA LINDE PKWY",
            "address_2": "UNIT 4",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323423",
            "telephone_number": "810-720-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 VILLA LINDE PKWY",
            "address_2": "UNIT 4",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323423",
            "telephone_number": "810-720-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M M KHOULANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "KHOULANI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "MONIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0250457",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C6999",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0986522",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4136160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102504571",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.