Provider Demographics
NPI:1134487481
Name:KHALEK, NABIL J (PHARMD, MS)
Entity Type:Individual
Prefix:DR
First Name:NABIL
Middle Name:J
Last Name:KHALEK
Suffix:
Gender:M
Credentials:PHARMD, MS
Other - Prefix:DR
Other - First Name:NABIL
Other - Middle Name:
Other - Last Name:ABDUL KHALEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, MS
Mailing Address - Street 1:30615 FORD RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1871
Mailing Address - Country:US
Mailing Address - Phone:734-266-0600
Mailing Address - Fax:734-266-0606
Practice Address - Street 1:30615 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1871
Practice Address - Country:US
Practice Address - Phone:734-266-0600
Practice Address - Fax:734-266-0606
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020326771835P1200X
170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No170300000XOther Service ProvidersGenetic Counselor, MS