Healthcare Provider Details

I. General information

NPI: 1497735542
Provider Name (Legal Business Name): BADIE M NAJEM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26850 PROVIDENCE PKWY STE 300
NOVI MI
48374-1259
US

IV. Provider business mailing address

26850 PROVIDENCE PKWY STE 300
NOVI MI
48374-1259
US

V. Phone/Fax

Practice location:
  • Phone: 248-348-4200
  • Fax: 313-730-7002
Mailing address:
  • Phone: 248-348-4200
  • Fax: 313-730-7002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBN407246
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: