Individual
YASSER AL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503-2559
(616) 267-9150
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
4301084773
MI
207RI0011X
Interventional Cardiology Physician
4301084773
MI
208000000X
Pediatrics Physician
4301084773
MI
2080P0202X
Pediatric Cardiology Physician
Primary
4301084773
MI
Other
Enumeration date
07/22/2005
Last updated
10/21/2025
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