Individual
DR. RIAD R DALI AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HEALTH PARK BLVD, STE H, GRAND BLANC, MI 48439-2558
(810) 606-7125
(810) 606-1620
Mailing address
600 HEALTH PARK BLVD, STE H, GRAND BLANC, MI 48439-2558
(810) 606-7125
(810) 606-1620
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301068100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4703466
—
MI
Enumeration date
08/31/2006
Last updated
10/23/2009
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