Provider Demographics
NPI:1235722935
Name:ALZINDANI, AHLAM (NP)
Entity Type:Individual
Prefix:
First Name:AHLAM
Middle Name:
Last Name:ALZINDANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3230 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3770
Mailing Address - Country:US
Mailing Address - Phone:248-843-5240
Mailing Address - Fax:313-581-9091
Practice Address - Street 1:18101 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4089
Practice Address - Country:US
Practice Address - Phone:313-593-7000
Practice Address - Fax:734-446-9750
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIF12200976363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner