Organization
MOHAMAD AL-JARRAH M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AL-JARRAH MD (OWNER)
(586) 978-1300
Entity
Organization
Contact information
Practice address
36909 SCHOENHERR RD STE 100, STERLING HEIGHTS, MI 48312-3371
(586) 978-1300
(586) 978-1303
Mailing address
PO BOX 3396, SOUTHFIELD, MI 48037-3396
(586) 978-1300
(586) 978-1303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
4301057471
MI
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110825139
BCBS
MI
05
—
3503774
—
MI
01
—
P61438
BCN
MI
Enumeration date
05/22/2008
Last updated
05/11/2023
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