Al Khatib, Basil

Al Khatib, Basil is an individual health care provider with primary practice located at 2777 E Camelback Rd Ste 200 , Phoenix AZ 85016-4352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Al Khatib, Basil can be contacted via phone (602) 952-0002.

Contact Information

Primary practice address
2777 E Camelback Rd Ste 200 Phoenix AZ 85016-4352
Fax: (602) 224-9119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30763 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 50635 Arizona

Profile Details

NPI number 1083977599
LBN Legal business name Al Khatib, Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated May 11th, 2021 - about 3 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 1083977599 NPPES
Arizona MEDICAID 128731

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