Provider Demographics
NPI:1952740680
Name:ALJANABI, AMJED (MD)
Entity Type:Individual
Prefix:
First Name:AMJED
Middle Name:
Last Name:ALJANABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-583-5300
Mailing Address - Fax:989-583-5325
Practice Address - Street 1:3875 BAY RD
Practice Address - Street 2:SUITE 2N
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2417
Practice Address - Country:US
Practice Address - Phone:989-583-5300
Practice Address - Fax:989-583-5325
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301103419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine