Khatib, Basel
Khatib, Basel is an individual health care provider with primary practice located at 5728 Schaefer Rd Ste 101 , Dearborn MI 48126-2287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khatib, Basel can be contacted via phone (313) 624-3005.Contact Information
Primary practice address
5728 Schaefer Rd Ste 101
Dearborn MI 48126-2287
Phone: (313) 624-3005
Fax: (313) 846-4547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301058311 | Michigan |
Profile Details
| NPI number | 1710967674 |
|---|---|
| LBN Legal business name | Khatib, Basel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Apr 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710967674 | NPPES |
| Michigan | MEDICAID | 4305600 |
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