IndividualActive
Abdo-Rahman Khassawneh, MD
NPI 1629771068 · Student in an Organized Health Care Education/Training Program · Clinton Township, MI
Provider details
- NPI number
- 1629771068
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (313) 916-1601
Approximate (ZIP-level) locationGet directions
Mailing address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.