Al-Khafaji, Basim M
Al-Khafaji, Basim M is an sole proprietor health care provider with primary practice located at 22101 Moross Rd , Detroit MI 48236-2148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Al-Khafaji, Basim M can be contacted via phone (313) 343-4000.Contact Information
Primary practice address
22101 Moross Rd
Detroit MI 48236-2148
Phone: (313) 343-4000
Fax: (313) 881-4727
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 071732 | Michigan |
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 071732 | Michigan |
Profile Details
NPI number | 1386758571 |
---|---|
LBN Legal business name | Al-Khafaji, Basim M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2006 |
Last updated | Dec 21st, 2016 - about 9 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 | 1386758571 | NPPES |
Michigan | MEDICAID | 4618196 |
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