Healthcare Provider Details

I. General information

NPI: 1972645745
Provider Name (Legal Business Name): ABDEL M ALAJAJ, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 S LINDEN RD SUITE J
FLINT MI
48532-3453
US

IV. Provider business mailing address

1110 S LINDEN RD STE 7
FLINT MI
48532-3453
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-0200
  • Fax: 810-733-1182
Mailing address:
  • Phone: 810-733-0200
  • Fax: 810-733-1182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301073291
License Number StateMI

VIII. Authorized Official

Name: ABDEL ALAJAJ
Title or Position: OWNER
Credential: MD
Phone: 810-733-0200