Provider Demographics
NPI:1386755080
Name:JONDY, ABDELMAJID (MD)
Entity type:Individual
Prefix:DR
First Name:ABDELMAJID
Middle Name:
Last Name:JONDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 S SAGINAW ST STE 1625
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2677
Mailing Address - Country:US
Mailing Address - Phone:810-720-0368
Mailing Address - Fax:810-720-0371
Practice Address - Street 1:4800 S SAGINAW ST STE 1625
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2677
Practice Address - Country:US
Practice Address - Phone:810-720-0368
Practice Address - Fax:810-720-0371
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301034344174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3207605Medicaid
MI0253132Medicare ID - Type Unspecified