IndividualActive
Basim Al-Khafaji, MD
NPI 1386758571 · Anatomic Pathology & Clinical Pathology Physician · Detroit, MI
Provider details
- NPI number
- 1386758571
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301071732 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
Fax: (313) 881-4727
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.