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Contact Information

JAAFER BEYDOUN
17515 W 9 MILE RD STE 740
SOUTHFIELD, MI48075-4413
 Phone: 248-353-2222
 Fax: 248-262-3333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAAFER BEYDOUN · (Male)

NPI Number 1083172878
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2019
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704282698
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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