Khalidi, Mazen
Khalidi, Mazen is an sole proprietor health care provider with primary practice located at 22790 Harper Ave Suite C, Saint Clair Shores MI 48080-1831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Khalidi, Mazen can be contacted via phone (586) 778-6060.Contact Information
Primary practice address
22790 Harper Ave Suite C
Saint Clair Shores MI 48080-1831
Phone: (586) 778-6060
Fax: (586) 773-8220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301034244 | Michigan |
Profile Details
| NPI number | 1619056041 |
|---|---|
| LBN Legal business name | Khalidi, Mazen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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