Healthcare Provider Details

I. General information

NPI: 1326464231
Provider Name (Legal Business Name): ALJUNDI MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2014
Last Update Date: 03/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 HIGHLAND RD SUITE 104
WATERFORD MI
48328-2167
US

IV. Provider business mailing address

2001 MAPLERIDGE RD
ROCHESTER HLS MI
48309-2750
US

V. Phone/Fax

Practice location:
  • Phone: 248-635-0367
  • Fax:
Mailing address:
  • Phone: 248-635-0367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301059857
License Number StateMI

VIII. Authorized Official

Name: DR. HEND ALJUNDI
Title or Position: OWNER
Credential: MD
Phone: 248-635-0367