Provider Demographics
NPI:1598909202
Name:KHUON, DALIYA (MD)
Entity Type:Individual
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First Name:DALIYA
Middle Name:
Last Name:KHUON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 MICHIGAN ST NE
Practice Address - Street 2:SUITE 4150
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2514
Practice Address - Country:US
Practice Address - Phone:616-267-2300
Practice Address - Fax:616-267-2301
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2021-02-25
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Provider Licenses
StateLicense IDTaxonomies
MI43011078682080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases