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Individual

BATUL-BITA KHATIBSHAHIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3132 NEWPORT RD, NEWPORT, MI 48166-6100
(734) 586-9120
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351047254
MI

Other

Enumeration date
07/04/2020
Last updated
10/09/2023
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