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Organization

NADEEM ULLAH MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NADEEN ULLAH MD (OWNER/PHYSICIAN)
(517) 768-1225
Entity
Organization

Contact information

Practice address
200 SUMMIT AVE STE B, JACKSON, MI 49201-2465
(517) 768-1225
(517) 768-1250
Mailing address
200 SUMMIT AVE STE B, JACKSON, MI 49201-2465
(517) 768-1225
(517) 768-1250

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110C813050
BCBS GROUP
MI
01
158148
GREAT LAKES
MI
05
1598708752
MI
01
7802771
AETNA
MI
01
DE9653
RAILROAD MEDICARE
Enumeration date
06/14/2006
Last updated
11/30/2022
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