Healthcare Provider Details

I. General information

NPI: 1447174347
Provider Name (Legal Business Name): ALKHALIL FOOT & ANKLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 ROCKDALE CT
DEARBORN HEIGHTS MI
48127-2556
US

IV. Provider business mailing address

6420 ROCKDALE CT
DEARBORN HEIGHTS MI
48127-2556
US

V. Phone/Fax

Practice location:
  • Phone: 313-258-7205
  • Fax: 734-264-2707
Mailing address:
  • Phone: 313-258-7205
  • Fax: 734-264-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HASSAN IBRAHIM ALKHALIL
Title or Position: PODIATRIST
Credential: DPM
Phone: 313-258-7205