Individual provider Active NPI

Khalid Alkhelaifi

  • Student in an Organized Health Care Education/Training Program
  • Detroit, MI
National Provider Identifier
1841747466
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
4301109049 Issued in MI
Practice address
1214 Griswold111
Apartment 401
Detroit, MI 48226-1812
Phone
(224) 704-7279
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301109049 MI Primary

Addresses

Primary practice location

1214 Griswold111
Apartment 401
Detroit, MI 48226-1812

Mailing address

1214 Griswold St
Apartment 401
Detroit, MI 48226-1821
Phone (224) 704-7279

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1841747466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 GRISWOLD ST",
            "address_2": "APARTMENT 401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261821",
            "telephone_number": "224-704-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 GRISWOLD111",
            "address_2": "APARTMENT 401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261812",
            "telephone_number": "224-704-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHELAIFI",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301109049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.