Individual
MHD HUSSAM AL JANDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 653-6568
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105255
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12590664-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301105255
MI
207RN0300X
Nephrology Physician
4301105255
MI
Other
Enumeration date
04/10/2014
Last updated
11/11/2024
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