Abdo-rahman Mohammad Khassawneh, MD is a student in an organized health care education training program in Clinton Township, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Abdo-rahman Mohammad Khassawneh, MD NPI is 1629771068. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15855 19 MILE RD
CLINTON TOWNSHIP, MI
ZIP 48038-504
Phone: (313) 916-1601
The NPI 1629771068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/24/2023 and was last updated on 3/28/2023.