Organization
ALI KHADIM JAFFAR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHADIM JAFFAR MD (PRESIDENT)
(248) 968-4811
Entity
Organization
Contact information
Practice address
22100 GREENFIELD RD, OAK PARK, MI 48237-2550
(248) 968-4811
(248) 968-4822
Mailing address
2566 ARNETH RD, WEST BLOOMFIELD, MI 48324-2018
(248) 968-4811
(248) 968-4822
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301066221
MI
Other
Enumeration date
10/22/2007
Last updated
10/26/2007
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