Organization
BASEL KHATIB, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEL KHATIB M.D. (PRESIDENT)
(313) 624-3005
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD STE 101, DEARBORN, MI 48126-2287
(313) 624-3005
(313) 846-4547
Mailing address
5728 SCHAEFER RD STE 101, DEARBORN, MI 48126-2287
(313) 624-3005
(313) 846-4547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BK058311
MI
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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