Healthcare Provider Details

I. General information

NPI: 1134487481
Provider Name (Legal Business Name): NABIL KHALEK PHARMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NABIL ABDUL KHALEK PHARMD, MS

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6445 N CANTON CENTER RD
CANTON MI
48187-2661
US

IV. Provider business mailing address

6445 N CANTON CENTER RD
CANTON MI
48187-2661
US

V. Phone/Fax

Practice location:
  • Phone: 734-777-9054
  • Fax:
Mailing address:
  • Phone: 734-266-0600
  • Fax: 734-266-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number5302032677
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: