Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mazen Khalidi MD PC

Organization Surgery Physician · NPI 1295998789

Mazen Khalidi MD PC is a Surgery Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22790 Harper Ave Ste C
Saint Clair Shores, MI 48080-1831
Phone: (586) 778-6060
Fax: (586) 773-8220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301034244 (MI)

Record details

NPI number1295998789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mazen Khalidi — Owner · (586) 778-6060
NPI enumeratedJuly 6, 2008
Last updated in NPPESJuly 6, 2008
Mailing address22790 Harper Ave, Suite C, Saint Clair Shores, MI 48080-1831

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