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NPI Code Detail

MEDICARE: BISHR UJAYLI MD PC

MEDICARE: BISHR UJAYLI MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner
2207RI0200XInfectious Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DD1665OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10F32901OTHERMIBLUE CROSS BLUE SHIELD GROUP

General Provider Information

NPI Number : 1073628566
Entity Type Code : Organization
Provider Name (Legal Business Name) : BISHR UJAYLI MD PC
Provider Business Mailing Address
First Line : 1349 S. ROCHESTER ROAD
Second Line : SUITE 115
City : ROCHESTER HILLS
State : MI
Zip : 48307-3817
Country : US
Telephone Number : 248-759-4852
Fax Number : 248-299-9860
Provider Business Practice Location Address
First Line : 1349 S. ROCHESTER ROAD
Second Line : SUITE 115
City : ROCHESTER HILLS
State : MI
Zip : 48307-3817
Country : US
Telephone Number : 248-759-4852
Fax Number : 248-299-9860
Authorized Official
Title or Position : PRESIDENT
Name : DR. BISHR A. AL-UJAYLI
Credential : M.D.
Telephone Number : 248-759-4852
Provider Enumeration Date : 08/21/2006
Last Update Date : 05/30/2013

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Directions to “BISHR UJAYLI MD PC ” Practice Location

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