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MOHAMAD AL-JARRAH M D P C NPI 1801053244


NPI Information

NPI: 1801053244
Provider Name: MOHAMAD AL-JARRAH M D P C
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 23D2281949

Address:
36909 SCHOENHERR RD STE 100
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 978-1300
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MOHAMAD AL-JARRAH M D P C is a pulmonary disease internal medicine in Sterling Heights, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MOHAMAD AL-JARRAH M D P C NPI is 1801053244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

36909 SCHOENHERR RD STE 100
STERLING HEIGHTS, MI
ZIP 48312-371
Phone: (586) 978-1300
Fax: (586) 978-1303

The provider's authorized official is Mohamad Al-jarrah .
The authorized official title is Owner and has the following contact phone number (586) 978-1300.

The CLIA number assigned to this NPI record is 23D2281949 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207RP1001XInternal MedicinePulmonary Disease4301057471MICHIGANNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13503774MEDICAIDMICHIGAN
2110825139OTHERMICHIGANBCBS
3P61438OTHERMICHIGANBCN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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