MEDICARE: ZAID ALJAHMI MEDICAL PRACTICE PLLC

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	207P00000X	Emergency Medicine Physician
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1396276622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZAID ALJAHMI MEDICAL PRACTICE PLLC

Provider Business Mailing Address
First Line	:	5063 MIDDLESEX ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-5017
Country	:	US
Telephone Number	:	313-818-7965
Fax Number	:

Provider Business Practice Location Address
First Line	:	10140 VERNOR HWY
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1515
Country	:	US
Telephone Number	:	313-438-6059
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. ZAID ALI ALJAHMI
Credential	:	MD
Telephone Number	:	313-818-7965

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	10/17/2022

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