Individual
DR. MOHAMAD K. AJJOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18303 E 10 MILE RD, SUITE 100, ROSEVILLE, MI 48066-4988
(586) 776-8877
(586) 776-3092
Mailing address
18303 E 10 MILE RD STE 100, ROSEVILLE, MI 48066-4989
(586) 776-8877
(586) 776-3092
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301045966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01050
BCBS
MI
01
—
101033
CARE CHOICES
MI
01
—
2432983
CIGNA
MI
05
—
2625084-10
—
MI
01
—
4515276
AETNA
MI
01
—
60042628
RAILROAD MEDICARE
MI
01
—
M018365
CHAMPUS GROUP
MI
01
—
P40297
BLUE CARE NETWORK
MA
Enumeration date
07/05/2005
Last updated
02/16/2026
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