| Sam Ajluni, M.d. Pllc | |
|
26677 W. 12 Mile Rd Pmb 3272 Southfield MI 48034 | |
| (248) 808-4644 | |
| (248) 288-3770 |
| Full Name | Sam Ajluni, M.d. Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26677 W. 12 Mile Rd Pmb 3272, Southfield, Michigan |
| Authorized Official Name and Position | Sam Ajluni (PRESIDENT/OWNER) |
| Authorized Official Contact | 2488084644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Ajluni, M.d. Pllc 26677 W. 12 Mile Rd Pmb 3272 Southfield MI 48034 Ph: (248) 808-4644 | Sam Ajluni, M.d. Pllc 26677 W. 12 Mile Rd Pmb 3272 Southfield MI 48034 Ph: (248) 808-4644 |
| NPI Number | 1922431808 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 10/27/2024 |
| Certification Date | 10/27/2024 |
| Medicare PECOS PAC ID | 2668609520 |
|---|---|
| Medicare Enrollment ID | O20131220001249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922431808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sam K Ajluni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700888179 PECOS PAC ID: 7911980685 Enrollment ID: I20101211000147 |
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