Provider Demographics
NPI:1780859371
Name:SERAJEE, FATEMA JAHAN (MD)
Entity Type:Individual
Prefix:
First Name:FATEMA
Middle Name:JAHAN
Last Name:SERAJEE
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4201 ST. ANTOINE UHC 6F MAILBOX# 226
Mailing Address - Street 2:UNIVERSITY PEDIATRICIANS
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2119
Mailing Address - Country:US
Mailing Address - Phone:313-966-5051
Mailing Address - Fax:313-966-6618
Practice Address - Street 1:3901 BEAUBIEN
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MI
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-745-5906
Practice Address - Fax:313-745-0095
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2010-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301082181208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics