Provider Demographics
NPI:1689979569
Name:ALZOHAILI MEDICAL CONSULTANTS MD PC
Entity Type:Organization
Organization Name:ALZOHAILI MEDICAL CONSULTANTS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:JOERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-914-5591
Mailing Address - Street 1:5250 AUTO CLUB DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2619
Mailing Address - Country:US
Mailing Address - Phone:313-914-5591
Mailing Address - Fax:313-914-5580
Practice Address - Street 1:5250 AUTO CLUB DR STE 200
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2619
Practice Address - Country:US
Practice Address - Phone:313-914-5591
Practice Address - Fax:313-914-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty