Organization
NADEEM ULLAH MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA ROWE (CREDENTIALING)
(517) 485-0001
Entity
Organization
Contact information
Practice address
200 SUMMIT AVE STE B, JACKSON, MI 49201-2465
(517) 768-1225
(517) 768-1250
Mailing address
1701 LAKE LANSING RD STE 100, LANSING, MI 48912-3798
(517) 485-9676
(517) 485-2622
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301068267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110C800500
BCN
MI
05
—
1730418831
—
MI
01
—
DQ1127
RAILROAD MEDICARE
MI
Enumeration date
12/18/2009
Last updated
02/28/2025
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