Individual
DR. HEND ABDUL-JAUWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB, BCH, BAO
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(734) 335-6103
(734) 404-5317
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301103122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205002102
—
MI
01
—
P01328323
RAILROAD MEDICARE
MI
Enumeration date
05/01/2008
Last updated
12/11/2014
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