Individual
AHMAD HIJAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4825 WESTLAND ST, DEARBORN, MI 48126-4112
(313) 713-1696
Mailing address
3202 PEARL ST, APT B11, HATTIESBURG, MS 39401-7046
(313) 713-1696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000000
MS
207R00000X
Internal Medicine Physician
34.013752
OH
208M00000X
Hospitalist Physician
Primary
34.013752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357874
—
OH
Enumeration date
03/30/2016
Last updated
04/21/2021
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