Organization
BASEL A BRIKHO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEL A BRIKHO MD (OWNER)
(248) 557-4443
Entity
Organization
Contact information
Practice address
18211 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2641
(248) 557-4443
(248) 557-0573
Mailing address
18211 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2641
(248) 557-4443
(248) 557-0573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/21/2008
Last updated
07/09/2008
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