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Search › Michigan › 207RC0200X

Mhd Hussam Al Jandali, M.D

NPI 1063831758 · on the registry since 2014 · sole proprietor

Practice

Address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(800) 653-6568
Fax
(313) 876-1305
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,594

Additional practice sites

  • 3535 W 13 Mile Rd Ste 644, Royal Oak, MI
  • 3000 N Triumph Blvd Ste 110, Lehi, UT
  • 2333 Biddle Ave, Wyandotte, MI

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
207R00000X
207RC0200X
207RN0300X
Licence states on file
MI, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-24

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