Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125055639 | IL |
N | 111NI0900X | Internist | 125055639 | IL |
Y | 207RN0300X | Nephrologist | 4301099929 | MI |
NPI | 1053627570 |
---|---|
Provider Name | Mohammad Alhaji |
First Address | Novi, MI 48377-3635 |
Second Address | Novi, MI 48377-2980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2010 |
Last Update Date | 21/09/2020 |