# RIVERSIDE OB GYN P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699724559
- **Authorized official:** DR. AHMAD I. AL-JERDI D.O. (PRESIDENT)
- **Authorized official phone:** (734) 675-7210

## Contact information

- **Practice address:** 2275 W JEFFERSON AVE, TRENTON, MI 48183-2114
- **Practice address phone:** (734) 675-7210
- **Practice address fax:** (734) 675-3023
- **Mailing address:** 2275 W JEFFERSON AVE, TRENTON, MI 48183-2114
- **Mailing address phone:** (734) 675-7210
- **Mailing address fax:** (734) 675-3023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 06/26/2012