Provider Demographics
NPI:1013882513
Name:ALMURAISI, KHULOOD K
Entity type:Individual
Prefix:MISS
First Name:KHULOOD
Middle Name:K
Last Name:ALMURAISI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17742 EDDON ST
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1228
Mailing Address - Country:US
Mailing Address - Phone:734-450-2120
Mailing Address - Fax:
Practice Address - Street 1:17742 EDDON ST
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1228
Practice Address - Country:US
Practice Address - Phone:734-450-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician