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Contact Information

SAMRA KHURSHID, MD
2333 BIDDLE AVE
HENRY FORD WYANDOTTE
WYANDOTTE, MI48192
 Phone: 734-464-0887
 Fax: 734-402-0254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for SAMRA KHURSHID · (Female)

NPI # 1669477246
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 07/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301070792
  • MI Medicaid 4668438
  • MI Other 70-0-F32947-0 BCBS CPIN #
  • MI Other SK070792 BCBSM
Hospital affiliation(s)
  • DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER - (Acute Care)
    4201 ST ANTOINE ST - 3M
    DETROIT, MI 48201
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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