# JISHI MEDICAL PLLC

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

## Provider details

- **NPI number:** 1710787874
- **Authorized official:** ALI JISHI MD (OWNER)
- **Authorized official phone:** (313) 605-6050

## Contact information

- **Practice address:** 3455 LIVERNOIS RD, TROY, MI 48083-5063
- **Practice address phone:** (248) 619-2020
- **Practice address fax:** (248) 619-7150
- **Mailing address:** 3 W VILLAGE LN, DEARBORN, MI 48124-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2025
- **Last updated:** 03/18/2025