Provider Demographics
NPI:1972645745
Name:ABDEL ALAJAJ, M.D., P.C.
Entity Type:Organization
Organization Name:ABDEL ALAJAJ, M.D., P.C.
Other - Org Name:ABDEL ALAJAJ, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-0200
Mailing Address - Street 1:1110 S LINDEN RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3453
Mailing Address - Country:US
Mailing Address - Phone:810-733-0200
Mailing Address - Fax:810-733-1182
Practice Address - Street 1:1110 S LINDEN RD
Practice Address - Street 2:SUITE J
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3453
Practice Address - Country:US
Practice Address - Phone:810-733-0200
Practice Address - Fax:810-733-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301073291208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0983289OtherHEALTH PLUS OF MI
MI3502504151OtherBLUE CROSS BLUE SHIELD
MIH23334Medicare UPIN