Provider Demographics
NPI:1508614470
Name:ALAJAB, JEWAIRIA ABUBAKER ABDALMOULA (MD)
Entity type:Individual
Prefix:
First Name:JEWAIRIA
Middle Name:ABUBAKER ABDALMOULA
Last Name:ALAJAB
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 1:4201 ST. ANTOINE ST
Mailing Address - Street 2:SUITE 9C DETROIT MI 48201-2153 UNITED STATES
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-5147
Mailing Address - Fax:
Practice Address - Street 1:4201 SAINT ANTOINE ST
Practice Address - Street 2:SUITE 6A DETROIT MI 48201-2153 UNITED STATES
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-4627
Practice Address - Fax:313-966-7305
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program