Most Relevant Information
Provider Data
| NPI Number: | 1003501909 |
| Provider Name: | AMANDA ALKHAFAJI DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2023 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
22250 PROVIDENCE DR
SOUTHFIELD
MI
480754825
Practice Location Phone/Fax
| Phone: | 2488493281 |
| Fax: |
Provider Mailing Location
1375 RIVONA DR
WATERFORD
MI
483284764
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |