Individual provider · Type 1 NPI

Jacob Saied Ghannam Jr., MD

Diagnostic Radiology Physician · Royal Oak, MI

NPI number 1629631213 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301505324 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1629631213

Jacob Saied Ghannam Jr., MD's National Provider Identifier is 1629631213, issued on Apr 18, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 5, 2025.