Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KHALED ALMADHOUN, DO
DeactivatedDR. KHALED ALMADHOUN, DO is a Sports Medicine (IM) healthcare provider located in DETROIT, Michigan. NPI 1710544630 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · DETROIT, MI
This NPI has been deactivated.
The record was deactivated on May 28, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1710544630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2019 (0.0027322404371585 yrs)
- Last Updated
- Aug 25, 2023
- Deactivated
- May 28, 2019
- Licenses
-
5101027309 (MI)5101027309 (MI)
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 48202Browse MI providers · Browse ZIP 48202
- Phone
- 3139161888
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS PISKOROWSKI | DO | 1518909597 |
| DR. JOHN HAAPANIEMI | DO | 1154363133 |
| LUISA FERNANDA BAZAN | M.D. | 1891863320 |
| DR. CHRISTOPHER L. DRAKE | PH.D. | 1083782528 |
| DR. RUTH DARCEL BARNETT | D.O. | 1306969944 |
| POONAM MISHRA | M.D | 1437312337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.