DR. KHADER HATEM HERZALLAH MD
NPI 1265956957
Internal Medicine in Lansing, MI

Q: What is Khader Herzallah's NPI number?

The NPI number for Khader Herzallah is 1265956957. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Q: What is Khader Herzallah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Khader Herzallah was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2017

1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 3, 2017 (2 updates tracked since 2017).

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About Dr. Khader Hatem Herzallah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KHADER HATEM HERZALLAH MD (NPI 1265956957) is an individual internal medicine provider in Lansing, Michigan, licensed in Michigan (4301112880) and active in the NPI registry since August 2017. He maintains a secondary practice location in East Lansing.

NPPES Registry Identity

NPI1265956957

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KHADER HATEM HERZALLAHCredential: MD

Location Address1215 E MICHIGAN AVELansing, MI 48912-1811

Mailing Address788 Service Rd Rm B-301East Lansing, MI 48824-7013 · (517) 432-2404

Phone(517) 364-1000

Sole ProprietorNo

Enumeration DateAugust 3, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1265956957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301112880

Definition

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.

1215 E MICHIGAN AVE, Lansing, MI 48912

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Secondary Practice Location 1

Location 1788 Service Rd Rm B-301East Lansing, MI 48824-7013 · Phone (517) 432-2404

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology