Provider Demographics
NPI:1114994548
Name:AL-NAJJAR, MUFID B (MD)
Entity Type:Individual
Prefix:DR
First Name:MUFID
Middle Name:B
Last Name:AL-NAJJAR
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 1:1400 SANDRINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2246
Mailing Address - Country:US
Mailing Address - Phone:248-594-3348
Mailing Address - Fax:
Practice Address - Street 1:915 E MAPLE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6410
Practice Address - Country:US
Practice Address - Phone:248-642-3388
Practice Address - Fax:248-642-0645
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010312682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
P52250001OtherMEDICARE ID-PTAN
MI1056619Medicaid
MI261634568OtherBLUE CROSS BLUE SHIELD
P52250001OtherMEDICARE ID-PTAN