Provider Demographics
NPI:1053817239
Name:AL-JANABI, LAITH NAFIL MOHSIN (MD)
Entity Type:Individual
Prefix:
First Name:LAITH
Middle Name:NAFIL MOHSIN
Last Name:AL-JANABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 S ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4577
Mailing Address - Country:US
Mailing Address - Phone:248-844-1500
Mailing Address - Fax:248-844-1501
Practice Address - Street 1:2708 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4577
Practice Address - Country:US
Practice Address - Phone:248-844-1500
Practice Address - Fax:248-844-1501
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000X
MI4301502398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program