Panah, Jalal

Panah, Jalal is an individual health care provider with primary practice located at 1750 S Telegraph Rd Suite 108, Bloomfield Hills MI 48302-0166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Panah, Jalal can be contacted via phone (248) 334-4505.

Contact Information

Primary practice address
1750 S Telegraph Rd Suite 108 Bloomfield Hills MI 48302-0166
Fax: (248) 334-4517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301032687 Michigan

Profile Details

NPI number 1740390889
LBN Legal business name Panah, Jalal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740390889 NPPES
Michigan MEDICAID 4251869

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