Provider Demographics
NPI:1356342596
Name:MALEH, JOUHAINA (MD)
Entity type:Individual
Prefix:DR
First Name:JOUHAINA
Middle Name:
Last Name:MALEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PRESTWICK CT
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1166
Mailing Address - Country:US
Mailing Address - Phone:313-441-4004
Mailing Address - Fax:
Practice Address - Street 1:5728 SCHAEFER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2298
Practice Address - Country:US
Practice Address - Phone:313-624-3000
Practice Address - Fax:313-846-4087
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301407322207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4157544Medicaid
MI2694395Medicaid
MI2694395Medicaid
MI2694395Medicaid
MIE68917Medicare UPIN
MIM94260003Medicare ID - Type Unspecified