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Individual

DR. ABDULWAHHAB ALROAINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
465 N TELEGRAPH RD, MONROE, MI 48162-3334
(734) 242-8880
(734) 384-0139
Mailing address
465 N TELEGRAPH RD, MONROE, MI 48162-3334
(734) 242-8880
(242) 384-0139

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081138
MI
207RC0000X
Cardiovascular Disease Physician
4301081138
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301081138
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11808031
CAQH
MI
01
1215129341
BCBS TYPE 1 NPI #
MI
05
1598968547
MI
01
4301081138
MICHIGAN LICENSE NUMBER
MI
01
5315053798
CDS #
MI
01
D0072852
MI STATE LICENSE #
MI
01
P34850007
MEDICARE IND PIN #
MI
Enumeration date
06/07/2007
Last updated
05/19/2025
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