Individual
DR. MADA H JAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
6055 19 MILE RD, STERLING HEIGHTS, MI 48314-2105
(248) 557-4443
(248) 557-0573
Mailing address
6055 19 MILE RD, STERLING HEIGHTS, MI 48314-2105
(248) 557-4443
(248) 557-0573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072954
MI
2083X0100X
Occupational Medicine Physician
4301072954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E012740
BCBSM GROUP PIN
MI
Enumeration date
11/15/2006
Last updated
07/21/2022
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