| Bishr Ujayli Md Pc | |
|
1349 S. Rochester Road Suite 115 Rochester Hills MI 48307-3817 | |
| (248) 759-4852 | |
| (248) 299-9860 |
| Full Name | Bishr Ujayli Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1349 S. Rochester Road, Rochester Hills, Michigan |
| Authorized Official Name and Position | Bishr A. Al-ujayli (PRESIDENT) |
| Authorized Official Contact | 2487594852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bishr Ujayli Md Pc 1349 S. Rochester Road Suite 115 Rochester Hills MI 48307-3817 Ph: (248) 759-4852 | Bishr Ujayli Md Pc 1349 S. Rochester Road Suite 115 Rochester Hills MI 48307-3817 Ph: (248) 759-4852 |
| NPI Number | 1073628566 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 05/30/2013 |
| Medicare PECOS PAC ID | 0042274847 |
|---|---|
| Medicare Enrollment ID | O20041111001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073628566 | NPI | - | NPPES |
| 0F32901 | Other | MI | BLUE CROSS BLUE SHIELD GROUP |
| DD1665 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| Provider Name | Bishr A Al Ujayli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790797355 PECOS PAC ID: 5597747337 Enrollment ID: I20040604000158 |
| Provider Name | Lydia C Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578688560 PECOS PAC ID: 5092753996 Enrollment ID: I20050421000206 |
| Provider Name | Jinson Jose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659605582 PECOS PAC ID: 4082739685 Enrollment ID: I20100920001109 |
| Provider Name | Jehad Sibai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700052594 PECOS PAC ID: 8022182997 Enrollment ID: I20140627000829 |
| Provider Name | Noora Kazanji |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407294507 PECOS PAC ID: 7416189543 Enrollment ID: I20160427000904 |
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