Mazen Khalidi in Saint Clair Shores - Surgery

Mazen Khalidi - NPI 1619056041

Mazen Khalidi is a Surgery in Saint Clair Shores, Michigan. Mazen Khalidi practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mazen Khalidi is 1619056041. The last update date is 2007-07-08.

Mazen Khalidi's current location address is 22790 Harper Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867786060 and fax number 5867738220. The mailing address for Mazen Khalidi is 22790 Harper Ave, Saint Clair Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Mazen Khalidi
Address 22790 Harper Ave, Saint Clair Shores, Michigan
Phone Number 5867786060
Fax Number 5867738220
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619056041
Provider Enumeration Date 2006-11-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22790 Harper Ave
City Saint Clair Shores
State Michigan (MI)
Post Code 480801831
Phone Number 5867786060
Fax Number 5867738220

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 4301034244
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Mazen Khalidi

What is the unique identification code assigned to Mazen Khalidi by the Centers for Medicare & Medicaid Services?

The Mazen Khalidi has been issued the NPI (National Provider Identifier) 1619056041. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mazen Khalidi?

The Mazen Khalidi is situated at 22790 Harper Ave, in the city of Saint Clair Shores, state of MI, with the zip code 480801831.

What is the area of specialization for Mazen Khalidi, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mazen Khalidi is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619056041 to Mazen Khalidi?

The Centers for Medicare & Medicaid Services originally issued the 1619056041 to Mazen Khalidi on 2006-11-05.

When was the information regarding Mazen Khalidi most recently updated?

The details pertaining to the Mazen Khalidi, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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