Provider Demographics
NPI:1790230522
Name:NAJI, MIKE
Entity Type:Individual
Prefix:
First Name:MIKE
Middle Name:
Last Name:NAJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18311 W 10 MILE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2623
Mailing Address - Country:US
Mailing Address - Phone:313-600-5100
Mailing Address - Fax:
Practice Address - Street 1:18311 W 10 MILE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2623
Practice Address - Country:US
Practice Address - Phone:313-600-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies