Provider Demographics
NPI:1285968974
Name:AYMAN AL-REJLEH MD PC
Entity type:Organization
Organization Name:AYMAN AL-REJLEH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-REJLEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-799-9223
Mailing Address - Street 1:4757 MCLEOD DR E
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2838
Mailing Address - Country:US
Mailing Address - Phone:989-799-9223
Mailing Address - Fax:989-249-6444
Practice Address - Street 1:4757 MCLEOD DR E
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2838
Practice Address - Country:US
Practice Address - Phone:989-799-9223
Practice Address - Fax:989-249-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAA060636174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4266781Medicaid
MIH30391Medicare UPIN
MION23030Medicare PIN