Provider Demographics
NPI:1235146150
Name:ALMOUNAJED, GHANEM (MD)
Entity Type:Individual
Prefix:DR
First Name:GHANEM
Middle Name:
Last Name:ALMOUNAJED
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 1:5059 VILLA LINDE
Mailing Address - Street 2:STE 28
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532
Mailing Address - Country:US
Mailing Address - Phone:810-720-7600
Mailing Address - Fax:810-720-8220
Practice Address - Street 1:5059 VILLA LINDE
Practice Address - Street 2:STE 28
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-720-7600
Practice Address - Fax:810-720-8220
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIGA069125207R00000X, 207RG0100X
MI4301069125207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1102504982OtherBCBS - MI
MI104224997Medicaid
F59059Medicare UPIN