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

Jimmy Charbel Haouilou, MD

Individual provider Surgery Physician · NPI 1063676286

Jimmy Charbel Haouilou, MD is a Vascular Surgery in Roseville, Michigan. Qualified in 2003, 23 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2008
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

25350 Kelly Rd
Roseville, MI 48066-5824
Phone: (586) 270-5100
Fax: (586) 270-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301084691 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301084691 (MI)

Record details

NPI number1063676286
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 16, 2008
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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