Provider Demographics
NPI:1700052594
Name:SIBAI, JEHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEHAD
Middle Name:
Last Name:SIBAI
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 1:1349 S ROCHESTER RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-3150
Mailing Address - Country:US
Mailing Address - Phone:248-299-9850
Mailing Address - Fax:248-299-9860
Practice Address - Street 1:1349 S ROCHESTER RD
Practice Address - Street 2:SUITE 115
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-3150
Practice Address - Country:US
Practice Address - Phone:248-299-9850
Practice Address - Fax:248-299-9860
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085572207R00000X
AZ40084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301085572OtherMICHIGAN STATE LICENSE