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

Khalil M Nasrallah, MD

Individual provider Clinical Neurophysiology Physician · NPI 1619923455

Khalil M Nasrallah, MD is a Neurology in Detroit, Michigan. Qualified in 2001, 25 years ago. Practices with McLaren Bay Region, a 111-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2006
Specialties on file
3
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

2799 W Grand Boulevard Null
Detroit, MI 48267-9622
Phone: (313) 916-2000
Show map & directions

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

Additional practice locations (4)

  • 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 — (800) 532-2411
  • N10561 Grandview Ln, Ironwood, MI 49938-9622 — (906) 932-2290
  • 6777 W Maple Rd, West Bloomfield, MI 48322-3013 — (248) 661-6466
  • 2333 Biddle Ave, Wyandotte, MI 48192-4668 — (800) 653-6568

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301079672 (MI)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 4301079672 (MI)
Neuromuscular Medicine (Psychiatry & Neurology) Physician Taxonomy 2084N0008X · Licence 4301079672 (MI)

Record details

NPI number1619923455
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice McLaren Bay Region — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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