Provider Demographics
NPI:1699817833
Name:JOEL, BINJU (MD)
Entity type:Individual
Prefix:
First Name:BINJU
Middle Name:
Last Name:JOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6787 EARHART RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9712
Mailing Address - Country:US
Mailing Address - Phone:734-883-0356
Mailing Address - Fax:
Practice Address - Street 1:2900 GOLFSIDE DR STE 8
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1410
Practice Address - Country:US
Practice Address - Phone:734-356-3303
Practice Address - Fax:734-356-3233
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301082514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine