Provider Demographics
NPI:1851542807
Name:AJLUNI, MICHAEL MAJED (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MAJED
Last Name:AJLUNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1560 E MAPLE RD
Mailing Address - Street 2:SUITE 400-CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:313-745-4600
Mailing Address - Fax:313-745-1063
Practice Address - Street 1:261 MACK AVE
Practice Address - Street 2:REHABILITATION INSTITUTE OF MI
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2417
Practice Address - Country:US
Practice Address - Phone:313-745-4600
Practice Address - Fax:313-745-1063
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125054684208100000X
MI4301090630208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630738Medicare PIN