# AHMAD R ZEIBO MD PLLC

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

## Provider details

- **NPI number:** 1336513530
- **Authorized official:** AHMAD R ZEIBO MD (MEMBER)
- **Authorized official phone:** (734) 846-4517

## Contact information

- **Practice address:** 15450 NORTHLINE RD STE 102, SOUTHGATE, MI 48195-2490
- **Practice address phone:** (734) 720-7270
- **Practice address fax:** (734) 288-0934
- **Mailing address:** PO BOX 87763, CANTON, MI 48187-0763
- **Mailing address phone:** (734) 846-4517
- **Mailing address fax:** (888) 770-6360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301074858 | MI | Yes |

## Other

- **Enumeration date:** 11/25/2015
- **Last updated:** 12/26/2022