Individual
AHMAD JAMAL ALI SHROUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W. 13 MILE ROAD, GME OFFICE, ROYAL OAK, MI 48073
(248) 551-3000
(248) 551-9425
Mailing address
3601 W. 13 MILE ROAD, GME OFFICE, ROYAL OAK, MI 48073
(248) 551-3000
(248) 551-9425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351052898
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351052898
MI
Other
Enumeration date
05/08/2024
Last updated
07/18/2024
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