Organization
BISHR UJAYLI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BISHR A. AL-UJAYLI M.D. (PRESIDENT)
(248) 759-4852
Entity
Organization
Contact information
Practice address
1349 S. ROCHESTER ROAD, SUITE 115, ROCHESTER HILLS, MI 48307-3817
(248) 759-4852
(248) 299-9860
Mailing address
1349 S. ROCHESTER ROAD, SUITE 115, ROCHESTER HILLS, MI 48307-3817
(248) 759-4852
(248) 299-9860
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32901
BLUE CROSS BLUE SHIELD GROUP
MI
01
—
DD1665
MEDICARE RAILROAD
—
Enumeration date
08/21/2006
Last updated
05/30/2013
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