Basil M Fathalla, MD
Basil M Fathalla, MD is a Pediatric Medicine in Detroit, Michigan. Qualified in 1995, 31 years ago. Practices with University Pediatricians, a 128-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 31
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3901 Beaubien St Children's Hospital Of MiDetroit, MI 48201-2119
Phone: (215) 427-5094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Rheumatology Physician (primary) | Taxonomy 2080P0216X · Licence MD427787 (PA) |
|---|
Record details
| NPI number | 1205879954 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 13, 2006 |
| Last updated in NPPES | May 28, 2009 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1995 (31 years in practice) |
| Group practice | University Pediatricians — 128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |