NPI
Mhd Hussam Al Jandali
NPI 1063831758
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2014-04-10
- Last updated
- 2026-08-24
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Specialties
Licenses
- License MI
- 4301105255
- License UT
- 12590664-1205
Location
- Practice location
- 2799 W Grand Blvd
- City
- Detroit MI
- Postal code
- 48202-2608
- Phone
- (800) 653-6568
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Detroit, MI. 25,231 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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