Ajjour, Mohamad K.
Ajjour, Mohamad K. is an individual health care provider with primary practice located at 18303 E 10 Mile Rd Suite 100, Roseville MI 48066-4988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ajjour, Mohamad K. can be contacted via phone (586) 776-8877.Contact Information
Primary practice address
18303 E 10 Mile Rd Suite 100
Roseville MI 48066-4988
Phone: (586) 776-8877
Fax: (586) 776-3092
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301045966 | Michigan |
Profile Details
NPI number | 1083611172 |
---|---|
LBN Legal business name | Ajjour, Mohamad K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2005 |
Last updated | Jul 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083611172 | NPPES |
Michigan | Other | 0E01050 | BCBS |
Michigan | Other | P40297 | BCBS |
Michigan | Other | M018365 | BCBS |
Michigan | Other | 101033 | BCBS |
Michigan | Other | 4515276 | BCBS |
Michigan | Other | 2432983 | BCBS |
Michigan | MEDICAID | 2625084-10 | BCBS |
Michigan | Other | 101033 | BCBS |
Michigan | Other | 101033 | BCBS |
Michigan | Other | 60042628 | BCBS |
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