IndividualActive
Ammar Khasrachi
NPI 1376393645 · Pediatric Endocrinology Physician · Dearborn, MI
Provider details
- NPI number
- 1376393645
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2080P0205X (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3353 Detroit St
Dearborn, MI 48124-4157
Phone: (218) 790-7159
Approximate (ZIP-level) locationGet directions
Mailing address
3353 Detroit St
Dearborn, MI 48124-4157
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.