| Basel a Brikho MD PC | |
|
18211 W 12 Mile Rd Lathrup Village MI 48076-2641 | |
| (248) 557-4443 | |
| (248) 557-0573 |
| Full Name | Basel a Brikho MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 18211 W 12 Mile Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Basel a Brikho (OWNER) |
| Authorized Official Contact | 2485574443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basel a Brikho MD PC 18211 W 12 Mile Rd Lathrup Village MI 48076-2641 Ph: (248) 557-4443 | Basel a Brikho MD PC 18211 W 12 Mile Rd Lathrup Village MI 48076-2641 Ph: (248) 557-4443 |
| NPI Number | 1750548392 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750548392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 208000000X | Pediatrics | (NU) | Secondary |
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