| Roger D Ajluni Md Pc | |
|
17920 Farmington Rd Livonia MI 48152-3104 | |
| (734) 425-5200 | |
| (734) 425-7755 |
| Full Name | Roger D Ajluni Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17920 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Roger David Ajluni (OWNER) |
| Authorized Official Contact | 7344255200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger D Ajluni Md Pc 17920 Farmington Rd Livonia MI 48152-3104 Ph: (734) 425-5200 | Roger D Ajluni Md Pc 17920 Farmington Rd Livonia MI 48152-3104 Ph: (734) 425-5200 |
| NPI Number | 1669619748 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 01/12/2009 |
| Medicare PECOS PAC ID | 5193880243 |
|---|---|
| Medicare Enrollment ID | O20090224000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669619748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301082209 (Michigan) | Primary |
| Provider Name | Roger D Ajluni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760439145 PECOS PAC ID: 2769486596 Enrollment ID: I20060908000173 |
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