Provider Demographics
NPI:1851409064
Name:KEFRI, MAHER K (MD)
Entity type:Individual
Prefix:
First Name:MAHER
Middle Name:K
Last Name:KEFRI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15146 LEVAN RD STE 46
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5027
Mailing Address - Country:US
Mailing Address - Phone:734-744-4562
Mailing Address - Fax:734-744-6142
Practice Address - Street 1:15146 LEVAN RD STE 46
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5027
Practice Address - Country:US
Practice Address - Phone:734-744-4562
Practice Address - Fax:734-744-6142
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301055827207RP1001X
MI23208180717207RP1001X
MI4301088527207RP1001X
FLME118254207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4699022Medicaid
MI4699022Medicaid
MI4283970Medicare PIN