Organization Active NPI

Raad Jajo M.D., PLLC

  • Psychiatry Physician
  • Dearborn, MI
National Provider Identifier
1508106170
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301082590 Issued in MI
Legal business name
RAAD JAJO M.D., PLLC
Practice address
2314 Monroe St
Dearborn, MI 48124-3010
Phone
(313) 562-6633
NPI assigned
Feb 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raad Jajo
Title
President
Phone
(313) 562-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301082590 MI Primary

Addresses

Primary practice location

2314 Monroe St
Dearborn, MI 48124-3010

Mailing address

2314 Monroe St
Dearborn, MI 48124-3010

National Provider Directory

National Provider Directory

Locations

2314 Monroe St
Dearborn, MI 48124
Phone (313) 562-6633

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1508106170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010",
            "telephone_number": "313-562-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAD JAJO M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "JAJO",
        "authorized_official_first_name": "RAAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-562-6633",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301082590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.