Individual
DR. MOHANNAD RAJJOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 HADLEY RD STE 120, MOORESVILLE, IN 46158-1934
(317) 834-8950
(317) 834-8951
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01098483A
IN
207V00000X
Obstetrics & Gynecology Physician
036-118894
IL
207V00000X
Obstetrics & Gynecology Physician
4301092218
MI
208M00000X
Hospitalist Physician
01098483A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118894
—
IL
Enumeration date
05/11/2010
Last updated
01/06/2026
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