Yasser Al Khatib MD

NPI 1053311779 - Pediatrics - 2080P0202X

NPI Details
NPI 1053311779
Gender Male
Enumeration Date 07/22/2005
Last Updated 12/31/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
100 MICHIGAN ST NE
10TH FLOOR MC 248
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 267-9150
Fax
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State Ohio
License Number 35080399
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According to our database, Yasser Al Khatib MD NPI is 1053311779, taxonomy code is 2080P0202X and license number is 35080399, license state is located at Ohio. Yasser Al Khatib MD physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Yasser Al Khatib MD has the Individual type.

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1053311779 NPI number is provided on an as is basis without warranty of any kind. 1053311779 is maintained by the National Plan & Provider Enumeration System. The contents of Yasser Al Khatib MD are for informational purposes only.