Provider Demographics
NPI:1992048607
Name:AHMAD, AHMAD M (MD)
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:M
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4 NOWLIN CT
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3912
Mailing Address - Country:US
Mailing Address - Phone:734-462-0340
Mailing Address - Fax:313-832-4078
Practice Address - Street 1:6501 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-4780
Practice Address - Country:US
Practice Address - Phone:313-908-7464
Practice Address - Fax:313-209-3002
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2021-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301103436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine