MEDICARE: ALI ELKHALIL DPM PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	5901002172	MI

General Provider Information

NPI Number	:	1811151293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALI ELKHALIL DPM PC

Provider Business Mailing Address
First Line	:	24327 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1129
Country	:	US
Telephone Number	:	248-471-3312
Fax Number	:

Provider Business Practice Location Address
First Line	:	24327 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1129
Country	:	US
Telephone Number	:	248-471-3312
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALI A ELKHALIL
Credential	:	DPM
Telephone Number	:	313-562-9588

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	02/12/2026

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