License holder summary

BASIL MAHMOUD FATHALLA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for BASIL MAHMOUD FATHALLA is Bloomfield Hills MI 48304. This medical practitioner license is not current. The license was granted 10/14/2005 and expired on 12/31/2010.

Department of State

Board of Medicine

BASIL MAHMOUD FATHALLA
Medical Physician And Surgeon
License number
MD427787
Date granted
10/14/2005
Date expires
12/31/2010
Class
Medical Physician And Surgeon
Status
Expired
Address
Bloomfield Hills MI 48304
medicinepa.com
ID 37611027
LAST UPDATED 2026-05-21 10:10:04 UTC

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