Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shouq Kherallah

Individual provider Hematology (Internal Medicine) Physician · NPI 1477115418

Shouq Kherallah is a Medical Oncology in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
Specialties on file
3

Practice location Address checks out

2800 W Grand Blvd
Detroit, MI 48202-2610
Phone: (888) 245-6424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 788 Service Rd Rm B-301, East Lansing, MI 48824-7013 — (517) 432-2404

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 4301513934 (MI)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence 4301513934 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301513934 (MI)

Record details

NPI number1477115418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2019
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL ONCOLOGY
Also practisesHEMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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