Individual
DR. ALI MAHAJERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231097
MA
207R00000X
Internal Medicine Physician
4301083665
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301083665
MI
Other
Enumeration date
01/12/2007
Last updated
02/25/2021
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