NPI
Downriver Clinic PC
NPI 1104063817
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2009-01-16
- Last updated
- 2009-04-14
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Specialties
Licenses
- License MI
- 4301091157
Location
- Practice location
- 8944 Macomb St
- City
- Grosse Ile MI
- Postal code
- 48138-2089
- Phone
- (734) 675-0705
Organization contact
- Name
- Mounir Khaled
- Title
- Owner Medical Director Physician
- Phone
- (734) 675-0705
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Grosse Ile, MI. 97 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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