Individual provider · Type 1 NPI

Mohammad Khalil

Gerontology Nurse Practitioner · Wyandotte, MI

NPI number 1265028542 Active

Practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 42195 Briarcliff Ct, Canton, MI 48187-3714 · (734) 447-6370
  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 · (313) 618-9128

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704283791 (MI)
Nurse Practitioner 363L00000X4704283791 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265028542

Mohammad Khalil's National Provider Identifier is 1265028542, issued on Dec 21, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Wyandotte, MI. The record was last updated on Jun 12, 2026.