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General NPI Number Information
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NPI Number | 1972465748
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Entity Type | Organization
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Legal Business Name | ABBAS ELKHATIB MD PLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6635 HERON PT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2060
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Country | US
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Telephone | 734-585-4809
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Fax |
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Provider Business Mailing Address
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Address Line | 6635 HERON PT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABBAS EL-KHATIB
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Credential | MD
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Telephone | 734-585-4809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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