Basil M Fathalla in Detroit - Pediatric Rheumatology
Basil M Fathalla - NPI 1205879954
Basil M Fathalla is a Pediatric Rheumatology in Detroit, Michigan. Basil M Fathalla practices all healthcare services and medical treatments related to Pediatric Rheumatology. The NPI Number for Basil M Fathalla is 1205879954. The last update date is 2009-05-28.
Basil M Fathalla's current location address is 4201 St. Antoine, Detroit, Michigan. You can contact this provider via phone number 3139665051. The mailing address for Basil M Fathalla is 4201 St. Antoine, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Basil M Fathalla |
|---|---|
| Address | 4201 St. Antoine, Detroit, Michigan |
| Phone Number | 3139665051 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205879954 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2009-05-28 |
Provider Mailing Address Detail
| Address | 4201 St. Antoine |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482014139 |
| Phone Number | 3139665051 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rheumatology |
|---|---|
| Taxonomy | 2080P0216X |
| Licence No | MD427787 |
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Definition: A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014672880001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Basil M Fathalla by the Centers for Medicare & Medicaid Services?
The Basil M Fathalla has been assigned the NPI (National Provider Identifier) 1205879954 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Basil M Fathalla is physically located?
The Basil M Fathalla is situated at the following address: 4201 St. Antoine, Detroit, MI 482014139.
What is Basil M Fathalla's area of expertise and its corresponding taxonomy classification?
The Basil M Fathalla's field of specialization is Pediatric Rheumatology, and it falls under the taxonomy code 2080P0216X, which categorizes healthcare providers based on their areas of practice.
When did the Basil M Fathalla receive its 1205879954?
The Basil M Fathalla was issued its 1205879954 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Basil M Fathalla's details last updated?
The information pertaining to the Basil M Fathalla, including its address, specialty, and other details, was most recently updated on 2009-05-28.