BASSEL ALTANTAWI MD PC – NPI #1417036054
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BASSEL ALTANTAWI MD PC is a provider located in ALLEN PARK, MI. NPPES has assigned the NPI number 1417036054 to BASSEL ALTANTAWI MD PC on November 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BASSEL ALTANTAWI MD PC below.

NPI Profile for
BASSEL ALTANTAWI MD PC

NPI Number
1417036054
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BASSEL ALTANTAWI MD PC
Primary location
9150 ALLEN ROAD
ALLEN PARK, MI 48101
Phone: (248) 635-7574 Fax:
Mailing address
610 PHEASENT WOODS DR
CANTON, MI 48188
Phone: (248) 635-7574 Fax:
Organization Subpart
No
Authorized Official
BASSEL ALTANTAWI
PHYSICIAN/PRESIDENT
Phone: (248) 635-7574
Updated
Identifiers

Identifiers for BASSEL ALTANTAWI MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMI1104225970
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
MI BA074111

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.