OrganizationKhalil M. Karadsheh, M.D., P.C.Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address30701 Woodward Ave, Suite S-401, Royal Oak, MI 48073-0987(248) 435-4462PECOS EnrollmentBased on the most recent information from CMS, provider Khalil M. Karadsheh, M.D., P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1356539746Provider TypeOrganizationFull NameKhalil M. Karadsheh, M.D., P.C.SubpartNoEnumeration Date10/10/2007Last Updated1/17/2010Contact InformationPractice LocationPractice Address30701 Woodward Ave, Suite S-401, Royal Oak, MI 48073-0987Phone(248) 435-4462Fax(248) 435-4094Mailing LocationMailing Address30701 Woodward Ave, Suite S-401, Royal Oak, MI 48073-0987Phone(248) 435-4462Fax(248) 435-4094Authorized OfficialNameKaradsheh, Khalil M (President)Phone(248) 435-4462Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301036025MichiganProvider IdentifiersIDDescriptionIssuerID1356428DescriptionMedicaidIssuerUnlistedMichiganID0639192DescriptionOtherIssuerMEDICAREMichigan