Individual
DR. AHMAD JALAL KANAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
22250 PROVIDENCE DRIVE 7PMB, SUITE #703A, SOUTHFIELD, MI 48075-4818
(248) 849-5862
(248) 849-8117
Mailing address
22250 PROVIDENCE DRIVE 7PMB, SUITE #703A, SOUTHFIELD, MI 48075-4818
(248) 849-5862
(248) 849-8117
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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