Individual
MUTAHHAR AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22972 LAHSER RD, SOUTHFIELD, MI 48033-4408
(248) 840-7480
(800) 660-6187
Mailing address
22972 LAHSER RD, SOUTHFIELD, MI 48033-4408
(248) 840-7480
(800) 660-6187
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301065663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4756764
—
MI
Enumeration date
06/05/2006
Last updated
04/25/2017
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