Ghaida Khodher, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

4301068771 Issued in MI

Practice address

11111 Hall Rd
Suite 300
Utica, MI 48317-5711

Phone

(586) 323-2181

Fax

(586) 323-2184

NPI assigned

Aug 2, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endocrine & Diabetes Consultants PC

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  • Rochester Hills, MI
  • NPI 1144237082
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1881601938",
    "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": "248-844-1873",
            "fax_number": "248-844-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD",
            "address_2": "SUITE 300",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175711",
            "telephone_number": "586-323-2181",
            "fax_number": "586-323-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODHER",
        "first_name": "GHAIDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301068771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106339112",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4193451",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysti Eliana Jones, LLMSW
• Joseph M Hildebrand DDS PC
• Hannah Kaganac, PHD, LLP
• Catherine Kattoula, LPC
• Keith a Brennan DC PLLC
• Kidney and Vascular Associates PC (Kidney and Vascular Associates)
• Erin Michelle Klena
• KN Mental Health Services LLC
• Earl R Koenig, MD
• Karolina Kulinska, L.L.P.C.

• Rheumatology Physician in Utica, MI
• Providers in Utica, MI by specialty
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.