Healthcare Provider Details
I. General information
NPI: 1760445688
Provider Name (Legal Business Name): ALI K NAJAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3100 CROSS CREEK PKWY SUITE 210
AUBURN HILLS MI
48326-2774
US
IV. Provider business mailing address
3100 CROSS CREEK PKWY SUITE 210
AUBURN HILLS MI
48326-2774
US
V. Phone/Fax
- Phone: 248-335-1110
- Fax: 248-335-6129
- Phone: 248-335-1110
- Fax: 248-335-6129
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 4301074579 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 4301074579 |
| License Number State | MI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 4301074579 |
| License Number State | MI |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 4301074579 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: