Individual provider Active NPI

Fuad Khazneh-Katbi, M.D.

  • Cardiovascular Disease Physician
  • Bloomfield Hills, MI
National Provider Identifier
1518019264
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
FK031332 Issued in MI
Practice address
43252 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5044
Phone
(248) 335-8610
Fax
(248) 335-5942
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X FK031332 MI Primary

Addresses

Primary practice location

43252 Woodward Ave
Suite 100
Bloomfield Hills, MI 48302-5044

Mailing address

PO Box 585
Bloomfield Hills, MI 48303-0585
Phone (248) 335-8610

Other identifiers 1

IdentifierTypeStateIssuer
1093111MedicaidMI

Other names 1

  • Dr. Fuad Katbi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FK031332MIMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1518019264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483030585",
            "telephone_number": "248-335-8610",
            "fax_number": "248-335-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43252 WOODWARD AVE",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025044",
            "telephone_number": "248-335-8610",
            "fax_number": "248-335-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZNEH-KATBI",
        "first_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "FK031332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FUAD",
            "last_name": "KATBI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.