Provider Demographics
NPI:1952350472
Name:MUFID B AL-NAJJAR MD PC
Entity Type:Organization
Organization Name:MUFID B AL-NAJJAR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF PC
Authorized Official - Prefix:DR
Authorized Official - First Name:MUFID
Authorized Official - Middle Name:B
Authorized Official - Last Name:AL-NAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-642-3388
Mailing Address - Street 1:1400 SANDRINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2246
Mailing Address - Country:US
Mailing Address - Phone:248-642-3388
Mailing Address - Fax:248-642-0645
Practice Address - Street 1:1400 SANDRINGHAM WAY
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-2246
Practice Address - Country:US
Practice Address - Phone:248-642-3388
Practice Address - Fax:248-642-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010312682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1056619Medicaid
P522500OtherMEDICARE PTAN
MIB45550Medicare UPIN