Provider Demographics
NPI:1285975250
Name:JABER, ALI H (MD)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:H
Last Name:JABER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 INKSTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-3086
Mailing Address - Country:US
Mailing Address - Phone:734-666-0000
Mailing Address - Fax:877-673-2863
Practice Address - Street 1:1647 INKSTER RD STE B
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-3086
Practice Address - Country:US
Practice Address - Phone:734-666-0000
Practice Address - Fax:877-673-2863
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301102779207Q00000X, 207R00000X
FLME153605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine