BASIL M FATHALLA

DETROIT, MI
NPI1205879954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0216X Pediatrics, Pediatric Rheumatology
(Licence: PA  MD427787)
Enumeration Date2006-06-13
Last Update Date2009-05-28
Business Address
-- BASIL M FATHALLA M.D.
3901 BEAUBIEN ST CHILDREN'S HOSPITAL OF MI
DETROIT, MI 48201-2119
Phone number: 215-427-5094
Mailing Address
-- BASIL M FATHALLA M.D.
4201 ST. ANTOINE UNIVERSITY PEDIATRICIANS UHC 6F MAILBOX# 226
DETROIT, MI 48201-4139
Phone number: 313-966-5051
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