Basel Khatib, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

BK058311 Issued in MI

Legal business name

BASEL KHATIB, M.D., P.C.

Practice address

5728 Schaefer Rd Ste 101
Dearborn, MI 48126-2287

Phone

(313) 624-3005

Fax

(313) 846-4547

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Basel Khatib, M.D.NPI 1710967674

Title

President

Phone

(313) 624-3005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Basel Khatib, M.D.

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1710967674
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1285809897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262287",
            "telephone_number": "313-624-3005",
            "fax_number": "313-846-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SCHAEFER RD STE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262287",
            "telephone_number": "313-624-3005",
            "fax_number": "313-846-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASEL KHATIB, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-624-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "BK058311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienna Bartnicki
• Randall James Bartoe, D.D.S.
• Christian L Bartoi, M.D.
• Kelly Bartok
• Kenneth P Bartold, M.D.
• Basha Dental Group PC
• Bashir Tarraf, OD, PC (Dearborn Eyecare)
• Heba Ali Bashroush
• Rachel E Basile
• Doaa Basma

• Pediatrics Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.