Provider Demographics
NPI:1245020148
Name:MEKHAEIL, MARINA SAMEH (MB BCH BAO (MD EQUIV)
Entity type:Individual
Prefix:MS
First Name:MARINA
Middle Name:SAMEH
Last Name:MEKHAEIL
Suffix:
Gender:F
Credentials:MB BCH BAO (MD EQUIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLIAM CARLS DR COMMERCE, MI 48382
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:MI
Mailing Address - Zip Code:48382
Mailing Address - Country:US
Mailing Address - Phone:248-937-5085
Mailing Address - Fax:
Practice Address - Street 1:1 WILLIAM CARLS DR
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:MI
Practice Address - Zip Code:48382
Practice Address - Country:US
Practice Address - Phone:248-937-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program