Individual
DR. BISHR ABDASSALAM AL-UJAYLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1349 S. ROCHESTER ROAD, SUITE 115, ROCHESTER HILLS, MI 48307-3817
(248) 759-4852
(248) 299-9860
Mailing address
1349 S ROCHESTER RD, SUITE 115, ROCHESTER HILLS, MI 48307-3150
(248) 759-4852
(248) 299-9860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301054466
MI
207RI0200X
Infectious Disease Physician
Primary
4301054466
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F32901
BCBS OF MICHIGAN
MI
01
—
10059388004
WELLNESS PLAN
MI
01
—
11270493
CAQH PROVIDER ID
MI
01
—
11645
MCARE HMO
MI
01
—
134440
CARE CHOICES
MI
05
—
4265425 10
—
MI
01
—
4301054466
STATE LICENSE
MI
01
—
5509
CAPE HEALTH
MI
Enumeration date
08/12/2006
Last updated
05/30/2013
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