Altantawi, Bassel

Altantawi, Bassel is an individual health care provider with primary practice located at 610 Pheasant Woods Dr , Canton MI 48188-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Altantawi, Bassel can be contacted via phone (248) 635-7574.

Contact Information

Primary practice address
610 Pheasant Woods Dr Canton MI 48188-3165
Phone: (248) 635-7574
Fax: (734) 844-3950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074111 Michigan

Profile Details

NPI number 1497797526
LBN Legal business name Altantawi, Bassel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 23rd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497797526 NPPES
Michigan Other P00254230 RR MEDICARE
Michigan MEDICAID 104749090 RR MEDICARE

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