Individual
DR. KHALEEL IBRAHIM AL-OBAIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
335 W 9TH ST UNIT 323, INDIANAPOLIS, IN 46202-3125
(313) 898-1673
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301505859
MI
390200000X
Student in an Organized Health Care Education/Training Program
11019155A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2015
Last updated
04/06/2022
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