Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASIL M FATHALLA, M.D.
ActiveBASIL M FATHALLA, M.D. is a Pediatric Rheumatology healthcare provider located in DETROIT, Michigan. NPI 1205879954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rheumatology · DETROIT, MI
Registration Details
- NPI Number
- 1205879954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.196371413517 yrs)
- Last Updated
- May 28, 2009
- License
-
MD427787 (PA)
Practice Information
- Address
-
3901 BEAUBIEN STCHILDREN'S HOSPITAL OF MIDETROIT, MI, 482012119Browse MI providers · Browse ZIP 48201
- Phone
- 2154275094
- Primary Specialty
-
Pediatric Rheumatology
2080P0216X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.