Healthcare Provider Details

I. General information

NPI: 1922006402
Provider Name (Legal Business Name): JULIE AL-NAJIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 HAGGERTY RD SUITE 2110
W BLOOMFIELD MI
48323-2184
US

IV. Provider business mailing address

PO BOX 33321 DRAWER 95
DETROIT MI
48232-5321
US

V. Phone/Fax

Practice location:
  • Phone: 248-926-1411
  • Fax: 313-561-0277
Mailing address:
  • Phone: 248-926-1411
  • Fax: 313-561-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJA074034
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: