MEDICARE: DR. JULIE AL-NAJIM 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	208000000X	Pediatrics Physician	JA074034	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	:	1922006402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE AL-NAJIM MD

Provider Business Mailing Address
First Line	:	PO BOX 33321
Second Line	:	DRAWER 95
City	:	DETROIT
State	:	MI
Zip	:	48232-5321
Country	:	US
Telephone Number	:	248-926-1411
Fax Number	:	313-561-0277

Provider Business Practice Location Address
First Line	:	2300 HAGGERTY RD
Second Line	:	SUITE 2110
City	:	W BLOOMFIELD
State	:	MI
Zip	:	48323-2184
Country	:	US
Telephone Number	:	248-926-1411
Fax Number	:	313-561-0277

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	07/08/2007

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