Individual
DR. AHED ZAYZAFOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, BOX 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8419
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
336.085504
IL
207R00000X
Internal Medicine Physician
Primary
4301095729
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301095729
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023340700
—
MI
01
—
1235131137
BCBSM - BLH
MI
01
—
1417961137
BCBSM - BMH
MI
01
—
Z215-0007-6163
DRIVER LICENSE
IL
Enumeration date
02/05/2010
Last updated
11/27/2023
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