Healthcare Provider Details

I. General information

NPI: 1407597289
Provider Name (Legal Business Name): SANIA AJMAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S BALLENGER HWY
FLINT MI
48532-3638
US

IV. Provider business mailing address

401 S BALLENGER HWY
FLINT MI
48532-3638
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-2059
  • Fax: 810-342-1246
Mailing address:
  • Phone: 810-342-2059
  • Fax: 810-342-1246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301517198
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: