MARWAN S. ABOULJOUD (NPI# 1316000896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316000896 |
| Entity Type | Individual |
| Full Name | MARWAN S. ABOULJOUD |
| Credential | M.D. |
| Practice Address |
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202 |
| Practice Telephone | 3139162436 |
| Mailing Telephone | 3139162436 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 204F00000X | Transplant Surgery | 4301050791 | MI | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 4301050791 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS-CHAMPUS | MA050791 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | MA050791 | 01 |
| Street Address |
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
| 1053794859 | Ali Malik | Podiatrist | Henry Ford Health System, 1 Ford Pl Ste 2e, Detroit, MI 48202 | 2015-06-30 |
| 1730389198 | Folusho Everton Ogunfiditimi | Physician Assistant | Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 | 2007-07-23 |
| 1598897696 | Geoffrey S. Mwaungulu | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-03-12 |
| 1578606463 | Rebecca S. Lurcott | Ophthalmology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-14 |
| 1184767949 | Jan Rival | Internal Medicine | Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 | 2007-02-14 |
| 1295875342 | Vinaya Vallabhaneni | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-07 |
| 1699821157 | Morton B. Cash | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-26 |
| 1881748242 | Felix Umansky | Neurological Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| 1558415901 | Sidney Goldstein | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413178 | Hirak Pahari | Transplant Surgery | 1350 W. Bethune St., Apt 807, Detroit, MI 48202 | 2016-09-01 |
| 1770515041 | University Surgeons | Transplant Surgery | 4160 John R St., Suite 615, Detroit, MI 48201 | 2006-07-07 |
| 1447299797 | University Physician Group | Transplant Surgery | 4201 St. Antoine St., Detroit, MI 48201 | 2006-06-05 |
| 1265849848 | Kazuhiro Takahashi | Transplant Surgery | 2799 West Grand Boulevard, Detroit, MI 48202 | 2014-07-16 |
| 1962844472 | Mahmoud Abdel Rahim Tabbal | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2013-07-25 |
| 1821433913 | Shunji Nagai | Transplant Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-05-03 |
| 1114153079 | Vrishali P Patil | Transplant Surgery | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2009-06-05 |
| 1174757652 | Rajeev Sharma | Transplant Surgery | 3990 John R St, Detroit, MI 48201-2059 | 2009-05-12 |
| 1245497478 | Jason Andrew Rolls | Transplant Surgery | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2008-05-16 |
| 1609066455 | Shakir Hussein | Transplant Surgery | 3990 John R St, Suite 615, Detroit, MI 48201-2018 | 2007-07-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.