Individual
IBTIHAJ RAJOULH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4757 MCLEOD DR E, SAGINAW, MI 48604
(989) 797-3130
(989) 797-3124
Mailing address
4757 MCLEOD DR E, SAGINAW, MI 48604
(989) 797-3130
(989) 797-3124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301056947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807354772
BCBSM
MI
05
—
4297376
—
MI
Enumeration date
02/09/2006
Last updated
03/29/2021
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