Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301071589 | MI |
NPI | 1023005063 |
---|---|
Provider Name | Dr. Syed I Ahmed |
First Address | Flint, MI 48507-3927 |
Second Address | Flint, MI 48507-3927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H05055 | (02) |