Provider Demographics
NPI:1679815112
Name:ALJAHMI, ZAID ALI (MD)
Entity Type:Individual
Prefix:
First Name:ZAID
Middle Name:ALI
Last Name:ALJAHMI
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 1:34405 W 12 MILE RD
Mailing Address - Street 2:SUITE 173
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3391
Mailing Address - Country:US
Mailing Address - Phone:248-957-7999
Mailing Address - Fax:248-957-7997
Practice Address - Street 1:34405 W 12 MILE RD
Practice Address - Street 2:SUITE 173
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3391
Practice Address - Country:US
Practice Address - Phone:248-957-7999
Practice Address - Fax:248-957-7997
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MI4301102602207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program