Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | NA041293 | MI |
NPI | 1063423317 |
---|---|
Provider Name | Naseer Ahmad |
First Address | Farmington Hills, MI 48336-2560 |
Second Address | Farmington Hills, MI 48336-2560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B46436 | (02) |