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General NPI Number Information
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NPI Number | 1326464231
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Entity Type | Organization
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Legal Business Name | ALJUNDI MEDICAL PLLC
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Dates
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Enumeration Date | 03/16/2014
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Last Update Date | 03/16/2014
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Provider Practice Location Address
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Address Line | 4000 HIGHLAND RD SUITE 104
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City | WATERFORD
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State | MI
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Zip | 48328-2167
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Country | US
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Telephone | 248-635-0367
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 MAPLERIDGE RD
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City | ROCHESTER HLS
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State | MI
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Zip | 48309-2750
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Country | US
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Telephone | 248-635-0367
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEND ALJUNDI
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Credential | MD
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Telephone | 248-635-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301059857
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License Number State | MI
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