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MAZEN KHALIDI MD
NPI 1619056041
Surgery in Saint Clair Shores, MI

Active since November 05, 2006
22790 HARPER AVE, SUITE C, SAINT CLAIR SHORES, MI 48080(586) 778-6060(586) 773-8220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mazen Khalidi Md NPPES

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

MAZEN KHALIDI MD (NPI 1619056041) is an individual surgery provider in Saint Clair Shores, Michigan, licensed in Michigan (4301034244) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619056041
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMAZEN KHALIDICredential: MD
Location Address22790 HARPER AVE, SUITE CSaint Clair Shores, MI 48080-1831
Mailing Address22790 Harper Ave, Suite CSaint Clair Shores, MI 48080-1831 · (586) 778-6060 · Fax (586) 773-8220
Phone(586) 778-6060
Fax(586) 773-8220
Sole ProprietorYes
Enumeration DateNovember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619056041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301034244
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
22790 HARPER AVE, Saint Clair Shores, MI 48080
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Other Identifiers 2

Medicare ID-Type Unspecified0500028MI
Medicare UPINE26384

Other Providers at the Same Location NPPES 4

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

MAZEN KHALIDI MD PC
Surgery
22790 HARPER AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-6060
EAST SIDE MEDICAL SERVICES P C
Specialist
22790 HARPER AVE, SUITE A
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 445-3070
HOLISTIC HEALTH CLINIC OF GROSSE POINTE PC
Family Medicine
22790 HARPER AVE, STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 944-2064
DR. DAVID JAMES SAGLIMBENE D.D.S.
Dentist (General Practice)
22790 HARPER AVE, SUITE B
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 776-0654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mazen Khalidi's NPI number?

The NPI number for Mazen Khalidi is 1619056041. It was assigned to this individual provider in the NPPES registry on November 5, 2006.

Where is Mazen Khalidi located?

Mazen Khalidi practices at 22790 Harper Ave Suite C, Saint Clair Shores, MI 48080. The listed phone number is (586) 778-6060.

What is Mazen Khalidi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mazen Khalidi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.