Khaleel Qussous
Pediatric Pulmonologist
1500 E. Medical Center Drive L2200 Uh South
Ann Arbor
, Michigan 48109-5212
Khaleel Qussous
Pediatric Pulmonologist
1500 E. Medical Center Drive L2200 Uh South
Ann Arbor
, Michigan 48109-5212
(734) 936-4200
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Khaleel Qussous
- 1150 W Medical Center Dr
- Ann Arbor, MI
- Zip : 48109-0600
- Phone : (734) 936-4200
Second Address
- Khaleel Qussous
- 1500 E. Medical Center Drive L2200 Uh South
- Ann Arbor, MI
- Zip : 48109-5212
- Phone : (734) 936-1755
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Is Khaleel Qussous a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 4301117316 | MI |
National Provider Identifier
| NPI | 1114473832 |
|---|---|
| Provider Name | Khaleel Qussous |
| First Address | Ann Arbor, MI 48109-0600 |
| Second Address | Ann Arbor, MI 48109-5212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2016 |
| Last Update Date | 30/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.