# HISHAM I AHMED MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033445143
- **Authorized official:** DR. HISHAM I AHMED MD (OWNER)
- **Authorized official phone:** (810) 348-7178

## Contact information

- **Practice address:** 1457 SUNCREST DR, LAPEER, MI 48446-1151
- **Practice address phone:** (810) 348-7178
- **Mailing address:** 8035 WOODSTONE DR, GRAND BLANC, MI 48439-7096
- **Mailing address phone:** (810) 348-7178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301076402 | MI | Yes |

## Other

- **Enumeration date:** 10/23/2009
- **Last updated:** 10/23/2009