Provider Demographics
NPI:1154314136
Name:ALJUNDI, HEND (MD)
Entity Type:Individual
Prefix:
First Name:HEND
Middle Name:
Last Name:ALJUNDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1302
Mailing Address - Country:US
Mailing Address - Phone:248-972-5110
Mailing Address - Fax:248-972-5139
Practice Address - Street 1:1720 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1302
Practice Address - Country:US
Practice Address - Phone:248-972-5110
Practice Address - Fax:248-972-5139
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059857207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3280884Medicaid
G37584Medicare UPIN
M71670068Medicare ID - Type Unspecified