Provider Demographics
NPI:1285927921
Name:AHMAD ABURASHED MD PC
Entity type:Organization
Organization Name:AHMAD ABURASHED MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-354-4633
Mailing Address - Street 1:27209 LAHSER RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8402
Mailing Address - Country:US
Mailing Address - Phone:248-354-4633
Mailing Address - Fax:248-354-4603
Practice Address - Street 1:27209 LAHSER RD
Practice Address - Street 2:SUITE 124
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8402
Practice Address - Country:US
Practice Address - Phone:248-354-4633
Practice Address - Fax:248-354-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031327207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI210058910Medicaid
MI210058910Medicaid