Ismail, Khaled Mostafa
Ismail, Khaled Mostafa is an individual health care provider with primary practice located at 18302 Middlebelt Rd , Livonia MI 48152-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ismail, Khaled Mostafa can be contacted via phone (248) 478-1500.Contact Information
Primary practice address
18302 Middlebelt Rd
Livonia MI 48152-5007
Phone: (248) 478-1500
Fax: (248) 478-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301077887 | Michigan |
Profile Details
| NPI number | 1467674895 |
|---|---|
| LBN Legal business name | Ismail, Khaled Mostafa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Sep 9th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467674895 | NPPES |
| Other | 11738444 | CAQH | |
| MEDICAID | 10-5185211 | CAQH | |
| MEDICAID | 1467674895 | CAQH |
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