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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386758571 NPPES
Michigan MEDICAID 4618196

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