Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fawaz Al-Ejel, MD

Individual provider Nephrology Physician · NPI 1871567651

Dr. Fawaz Al-Ejel, MD is a Nephrology in Southfield, Michigan. Qualified in 1988, 38 years ago. Practices with Michigan Kidney Consultants PC, a 45-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
38
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24623 Greenfield Rd
Southfield, MI 48075-3058
Phone: (248) 290-3111
Fax: (248) 290-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301056772 (MI)

Record details

NPI number1871567651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Michigan Kidney Consultants Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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