Provider Demographics
NPI:1558673384
Name:JALAL, SHWAN MOHAMAD DHAHIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHWAN
Middle Name:MOHAMAD DHAHIR
Last Name:JALAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4967 CROOKS RD
Mailing Address - Street 2:STE 130
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-5801
Mailing Address - Country:US
Mailing Address - Phone:248-952-1601
Mailing Address - Fax:248-952-1614
Practice Address - Street 1:22201 MOROSS RD
Practice Address - Street 2:PROFESSIONAL BUILDING 2 SUITE 50
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-2169
Practice Address - Country:US
Practice Address - Phone:313-343-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2015-08-20
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Provider Licenses
StateLicense IDTaxonomies
MI4301096819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine