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

Individual provider Family Medicine Physician · NPI 1063108819

Dr. Baila Khatoon, MD is a Family Practice in Detroit, Michigan. Qualified in 2015, 11 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 St Antoine Uhc 9C
Detroit, MI 48201-4820
Phone: (313) 745-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7740 Washington Village Dr Ste 110, Centerville, OH 45459-4151 — (937) 562-2291

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.156469 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063108819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2023
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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