Individual
M BASSEM HOSEIN DEKELBAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD STE 707, ROYAL OAK, MI 48073-6770
(248) 551-0487
(248) 551-3696
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301059462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4749714
—
MI
Enumeration date
09/14/2005
Last updated
07/15/2022
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