Provider Demographics
NPI:1578540852
Name:AL-NAJJAR, MAJDI SULEIMAN (MD)
Entity Type:Individual
Prefix:
First Name:MAJDI
Middle Name:SULEIMAN
Last Name:AL-NAJJAR
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 1:6416 DEANS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERRIEN CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49102-9750
Mailing Address - Country:US
Mailing Address - Phone:269-408-1600
Mailing Address - Fax:269-408-1602
Practice Address - Street 1:3950 HOLLYWOOD RD
Practice Address - Street 2:SUITE 284
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9151
Practice Address - Country:US
Practice Address - Phone:269-408-1600
Practice Address - Fax:269-408-1602
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088693207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00390527OtherMEDICARE PTAN
MIP35810001Medicare PIN
MIG83810Medicare UPIN