Khanukov, Eugeniya

Khanukov, Eugeniya is an individual health care provider with primary practice located at 15500 19 Mile Rd Suite 360, Clinton Township MI 48038-6330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khanukov, Eugeniya can be contacted via phone (586) 263-9999.

Contact Information

Primary practice address
15500 19 Mile Rd Suite 360 Clinton Township MI 48038-6330
Phone: (586) 263-9999
Fax: (586) 263-0581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301048104 Michigan

Profile Details

NPI number 1326056946
LBN Legal business name Khanukov, Eugeniya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326056946 NPPES
Michigan MEDICAID 4223612

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