Healthcare Provider Details

I. General information

NPI: 1518520469
Provider Name (Legal Business Name): SULEMAN AJAZ JANJUA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 W GENESEE ST
FRANKENMUTH MI
48734-1305
US

IV. Provider business mailing address

4800 S SAGINAW ST STE 1800
FLINT MI
48507-2677
US

V. Phone/Fax

Practice location:
  • Phone: 989-652-7344
  • Fax: 989-652-7355
Mailing address:
  • Phone: 810-275-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0101526
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberD0101526
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301512807
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number4301512807
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: