Provider Demographics
NPI:1255411658
Name:ELITE INTERNAL MEDICINE, PC
Entity type:Organization
Organization Name:ELITE INTERNAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SIMO
Authorized Official - Last Name:ALNAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-977-9066
Mailing Address - Street 1:34580 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5277
Mailing Address - Country:US
Mailing Address - Phone:586-977-9066
Mailing Address - Fax:586-977-9041
Practice Address - Street 1:34580 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5277
Practice Address - Country:US
Practice Address - Phone:586-977-9066
Practice Address - Fax:586-977-9041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty