Healthcare Provider Details

I. General information

NPI: 1720747637
Provider Name (Legal Business Name): HESHAM ALJAHMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 HORGER ST
DEARBORN MI
48126-2274
US

IV. Provider business mailing address

6140 HORGER ST
DEARBORN MI
48126-2274
US

V. Phone/Fax

Practice location:
  • Phone: 313-784-0274
  • Fax:
Mailing address:
  • Phone: 313-784-0274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA425298577625
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: