Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 5501005637 | MI |
N | 2251C2600X | Cardiopulmonary | 5501005637 | MI |
N | 2251G0304X | Physical Therapist - Geriatrics | 5501005637 | MI |
N | 2251N0400X | Physical Therapist - Neurology | 5501005637 | MI |
N | 2251S0007X | Physical Therapist - Sports | 5501005637 | MI |
N | 2251X0800X | Physical Therapist - Orthopedic | 5501005637 | MI |
NPI | 1639125966 |
---|---|
Provider Name | Dr. Waseem Ahmad |
First Address | Livonia, MI 48150-3009 |
Second Address | Livonia, MI 48150-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 11/05/2009 |