Healthcare Provider Details

I. General information

NPI: 1578540852
Provider Name (Legal Business Name): MAJDI SULEIMAN AL-NAJJAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 HOLLYWOOD RD SUITE 284
SAINT JOSEPH MI
49085-9151
US

IV. Provider business mailing address

6416 DEANS HILL RD
BERRIEN CENTER MI
49102-9750
US

V. Phone/Fax

Practice location:
  • Phone: 269-408-1600
  • Fax: 269-408-1602
Mailing address:
  • Phone: 269-408-1600
  • Fax: 269-408-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number4301088693
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: