Healthcare Provider Details

I. General information

NPI: 1790970754
Provider Name (Legal Business Name): MAJID ZAYDAN KHALAF JANABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN ST
DETROIT MI
48201-2119
US

IV. Provider business mailing address

4201 ST. ANTIONE UHC 6F UNIVERSITY PEDIATRICIANS
DETROIT MI
48201-2061
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-5906
  • Fax:
Mailing address:
  • Phone: 313-966-5051
  • Fax: 313-966-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number35.153582
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number4301090992
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: