MEDICARE: DR. FADI M AJINE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	015958	ME
2	207RR0500X	Rheumatology Physician	4301110715	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275533986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FADI M AJINE MD

Provider Business Mailing Address
First Line	:	601 JOHN SREET
Second Line	:	SUITE M030
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-5341
Country	:	US
Telephone Number	:	269-343-3939
Fax Number	:	269-343-3948

Provider Business Practice Location Address
First Line	:	601 JOHN ST
Second Line	:	SUITE M030
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-5341
Country	:	US
Telephone Number	:	269-343-3939
Fax Number	:	269-343-3948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. FADI M AJINE MD” Practice Location

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