Provider Demographics
NPI:1952191504
Name:ALKHAS, CHMSALDDIN (MD)
Entity type:Individual
Prefix:
First Name:CHMSALDDIN
Middle Name:
Last Name:ALKHAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 LEAHY ST STE 315A
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-5543
Mailing Address - Country:US
Mailing Address - Phone:231-672-1690
Mailing Address - Fax:231-672-6202
Practice Address - Street 1:1150 E SHERMAN BLVD STE 1100
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-4607
Practice Address - Country:US
Practice Address - Phone:231-672-1690
Practice Address - Fax:231-672-6202
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program