MEDICARE: ANDY ALNAJJAR DO

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	207Q00000X	Family Medicine Physician	5101027534	MI

General Provider Information

NPI Number	:	1770164972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDY ALNAJJAR DO

Provider Business Mailing Address
First Line	:	28345 BECK RD STE 410
Second Line	:
City	:	WIXOM
State	:	MI
Zip	:	48393-4745
Country	:	US
Telephone Number	:	248-723-2400
Fax Number	:	248-723-5794

Provider Business Practice Location Address
First Line	:	1109 W LONG LAKE RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-1967
Country	:	US
Telephone Number	:	248-723-2400
Fax Number	:	248-723-5794

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	09/20/2024

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Directions to “ ANDY ALNAJJAR DO” Practice Location

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