MEDICARE: DR. GEORGE BRIAN GENNAOUI D.O

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
1	207RR0500X	Rheumatology Physician	5101027962	MI
2	207RR0500X	Rheumatology Physician	34.015633	OH
3	207RR0500X	Rheumatology Physician	79972	MN

General Provider Information

NPI Number	:	1861928681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE BRIAN GENNAOUI D.O

Provider Business Mailing Address
First Line	:	26901 BEAUMONT BLVD STE 3D
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-3849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 SCHAEFER RD STE 270
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3743
Country	:	US
Telephone Number	:	947-523-4670
Fax Number	:	313-943-2915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	10/07/2025

Similar Medicare Providers

1790305399 — DR. HUSSEIN KHALIL GHARIB MD
Practice Location Address:

4700 SCHAEFER RD STE 260
DEARBORN, MI
48126-3743

Practice Phone: 947-523-4650
Practice Fax: 313-943-2914

1669707402 — RUBY GUPTA
Practice Location Address:

4700 SCHAEFER RD STE 260
DEARBORN, MI
48126-3743

Practice Phone: 313-583-5400
Practice Fax:

1851883904 — DR. ESSA KADIRI MD
Practice Location Address:

4700 SCHAEFER RD STE 240
DEARBORN, MI
48126-3743

Practice Phone: 313-827-0480
Practice Fax:

1235713843 — TALIN ROSE DARIAN MD
Practice Location Address:

4700 SCHAEFER RD STE 310
DEARBORN, MI
48126-3743

Practice Phone: 947-523-4680
Practice Fax:

1831773274 — DR. ASEEL ZAID SABRI AL-RAWI MD
Practice Location Address:

4700 SCHAEFER RD STE 240
DEARBORN, MI
48126-3743

Practice Phone: 313-827-0480
Practice Fax:

1528637196 — AHMAD EL-GAMMAL
Practice Location Address:

4700 SCHAEFER RD STE 240
DEARBORN, MI
48126-3743

Practice Phone: 313-593-7000
Practice Fax:

Directions to “ DR. GEORGE BRIAN GENNAOUI D.O” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.