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NPI Code Detail

MEDICARE: DR. ALI H. JABER M.D.

MEDICARE: DR. ALI H. JABER M.D.
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
1207Q00000XFamily Medicine Physician4301102779MI
2207R00000XInternal Medicine Physician4301102779MI

General Provider Information

NPI Number : 1285975250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI H. JABER M.D.
Provider Business Mailing Address
First Line : 1647 INKSTER RD STE B
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-3086
Country : US
Telephone Number : 734-666-0000
Fax Number : 877-673-2863
Provider Business Practice Location Address
First Line : 1647 INKSTER RD STE B
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-3086
Country : US
Telephone Number : 734-666-0000
Fax Number : 877-673-2863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2013
Last Update Date : 03/03/2025

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