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NPI Verification

National Provider Identifier: 1063831758

Mhd Hussam Al Jandali, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

All Specialties (4)

Internal Medicine

Code: 207R00000X

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Internal Medicine, Nephrology

Code: 207RN0300X

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Primary

Practice Address

2799 W GRAND BLVD

DETROIT, MI 482022608

Phone: 800-653-6568

NPI Enumeration Date

April 10, 2014

NPI Number

1063831758

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry