Healthcare Provider Details

I. General information

NPI: 1548719933
Provider Name (Legal Business Name): BABIKIR KHEIRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 S LINDEN RD STE A
FLINT MI
48532-3406
US

IV. Provider business mailing address

1165 S LINDEN RD STE A
FLINT MI
48532-3406
US

V. Phone/Fax

Practice location:
  • Phone: 810-732-5400
  • Fax: 810-733-1624
Mailing address:
  • Phone: 810-732-5400
  • Fax: 810-733-1624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number4301512260
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301512260
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD199765
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: