Organization
NADEEM ULLAH MD
Active
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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