Provider Demographics
NPI:1407423668
Name:ALQUDAH, ALA' JAMAL (MD)
Entity Type:Individual
Prefix:MISS
First Name:ALA'
Middle Name:JAMAL
Last Name:ALQUDAH
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 1:4501 WOODWARD AVE
Mailing Address - Street 2:APT 413
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-1892
Mailing Address - Fax:
Practice Address - Street 1:4201 ST. ANTOINE, UHC-9C
Practice Address - Street 2:DETROIT MEDICAL CENTER, GME OFFICE
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-1892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2023-04-20
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2023-04-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program