Active NPI
Abdul Hussain Alkhafaji, M.D.
- Surgery Physician
- White Lake, MI
National Provider Identifier
1962589192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- AA031208
- Practice address
- 9229 Highland Rd
White Lake, MI 48386-2307 - Phone
- (248) 698-4002
- Fax
- (248) 698-4005
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | AA031208 | MI | Primary |
Addresses
Primary practice location
9229 Highland Rd
White Lake, MI 48386-2307
Mailing address
1127 Bloomer Rd
Rochester Hills, MI 48307-2372
Phone (248) 703-4002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1280606 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA031208 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962589192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 BLOOMER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483072372",
"telephone_number": "248-703-4002",
"fax_number": "248-698-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 HIGHLAND RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862307",
"telephone_number": "248-698-4002",
"fax_number": "248-698-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHAFAJI",
"first_name": "ABDUL",
"middle_name": "HUSSAIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "AA031208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1280606",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.