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DR. KHALID MUTLAG ALMUTAIRI M.D MS.C FRCSC NPI 1508116914


NPI Information

NPI: 1508116914
Provider Name: DR. KHALID MUTLAG ALMUTAIRI, M.D, MS.C, FRCSC
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Address:
4660 S HAGADORN RD
STE 600
EAST LANSING, MI
ZIP 48823
Phone: (517) 267-2460
Get Directions

DR. Khalid Mutlag Almutairi, M.D, MS.C, FRCSC is a plastic surgery in East Lansing, MI. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Khalid Mutlag Almutairi, M.D, MS.C, FRCSC NPI is 1508116914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4660 S HAGADORN RD
STE 600
EAST LANSING, MI
ZIP 48823-376
Phone: (517) 267-2460
Fax: (517) 884-8602

The enumeration date for this NPI number is 9/12/2012 and was last updated on 6/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryMD445621PENNSYLVANIANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckMD445621PENNSYLVANIANo
32082S0105XPlastic SurgerySurgery of the HandMD445621PENNSYLVANIANo
4208200000XPlastic Surgery14794NEVADANo
5208200000XPlastic Surgery4301106555MICHIGANYes
62086S0105XSurgerySurgery of the Hand4301106555MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11508116914MEDICAIDMICHIGAN
20C36088130MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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