| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BATUL-BITA KHATIBSHAHIDI | 1851918098 | 2020-07-04 |
Batul-bita Khatibshahidi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851918098. Registration indicates Batul-bita Khatibshahidi is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Batul-bita Khatibshahidi |
| Practice Office Address | 3132 NEWPORT RD NEWPORT, MI US |
| Practice Office Telephone | 7345869120 |
| Mailing Address | 26901 BEAUMONT BLVD STE 3D SOUTHFIELD, MI 480333849 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 650 Stewart Rd | Monroe, MI 481624222 | 7342408430 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 4351047254
MI |