Individual
DR. LEILA RAJA HAJJAR-NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8330
(313) 982-8294
Mailing address
HENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DRIVE, DEARBORN, MI 48126
(313) 425-4567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
052752
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289184010
—
MI
01
—
700H262210
BLUE CROSS-BLUE CROSS
—
01
—
LH052752
CHAMPUS-CHAMPUS
—
Enumeration date
11/29/2006
Last updated
04/23/2021
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