Search › Michigan › 208600000X
Jason Rizqallah, MD
NPI 1043565443 · on the registry since 2012
Practice
- Address
- 47601 Grand River Ave # B136
Novi, MI 48374 - Phone
- (248) 465-3940
- Fax
- (248) 465-3941
Additional practice sites
- 3663 Woodward Ave Ste 200, Detroit, MI
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan