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Basil M Fathalla, MD
Pediatric Rheumatology Physician in Detroit, Michigan
NPI 1205879954

Basil M Fathalla is a Pediatric Rheumatology Physician based in Detroit, MI and is specialized in Pediatric Rheumatology. Basil M Fathalla practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Basil M Fathalla is 1205879954 and holds a License No. MD427787 (Michigan).

The current practice location address for Basil M Fathalla is 3901 Beaubien St, Detroit, MI and can be reached out via phone at 215-427-5094.

Location: 3901 Beaubien St, Detroit, MI, 48201-4139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205879954
Provider Name
Basil M Fathalla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3901 Beaubien St, Detroit, MI, 48201-4139
Phone Number
215-427-5094
Fax Number
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1014672880001 05 PA
institution
Provider Business Practice Location Address Details
Address
3901 Beaubien St
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
215-427-5094
Fax Number
person
Provider Business Mailing Address Details
Address
3901 Beaubien St
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
215-427-5094
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Rheumatology
Taxonomy
2080P0216X
License No.
MD427787 (Pennsylvania)
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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