Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 5101012046 | MI |
NPI | 1023067063 |
---|---|
Provider Name | Dr. Ahmad I Al-Jerdi |
First Address | Trenton, MI 48183-2114 |
Second Address | Trenton, MI 48183-2114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 29/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1209778 | FIRST HEALTH (01) | MI |
122747 | PREFERRED CHOICES PPO (01) | MI |
160055737 | RAILROAD MEDICARE (01) | MI |
173659 | ONE HEALTH PLAN GREAT WES (01) | MI |
2966851 | CIGNA (01) | MI |
382524226 | BCE EMERGIS (01) | MI |
382524226 | PPOM (01) | MI |
382524226 | THE CHANDLER GROUP PRIMA (01) | MI |
382524226 | TRICARE EXTRA, STANDARD, (01) | MI |
382524226 | UNITED HEALTHCARE (01) | MI |
4106545-11 | (05) | MI |
5164734 | AETNA (01) | MI |
5409385 | CCN (01) | MI |
5820554 | BCBS PPO (01) | MI |
5820554 | BLUE PREFERRED PLUS (01) | MI |
G84901 | (02) | MI |
G84901 | HAP & HAP SENIOR PLUS (01) | MI |
P99325 | BCN (01) | MI |