Healthcare Provider Details

I. General information

NPI: 1952350472
Provider Name (Legal Business Name): MUFID B AL-NAJJAR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 07/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 SANDRINGHAM WAY
BLOOMFIELD HILLS MI
48301-2246
US

IV. Provider business mailing address

1400 SANDRINGHAM WAY
BLOOMFIELD HILLS MI
48301-2246
US

V. Phone/Fax

Practice location:
  • Phone: 248-642-3388
  • Fax: 248-642-0645
Mailing address:
  • Phone: 248-642-3388
  • Fax: 248-642-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301031268
License Number StateMI

VIII. Authorized Official

Name: DR. MUFID B AL-NAJJAR
Title or Position: PRESIDENT OF PC
Credential: MD
Phone: 248-642-3388