Individual
DR. AHMAD KADDURAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HURLEY PLZ, ATTN: PROFESSIONAL BILLING DEPT, FLINT, MI 48503-5902
(810) 262-9353
Mailing address
PO BOX 956, GRAND BLANC, MI 48480-0956
(810) 233-7103
(810) 257-9710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301063683
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301063683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4612989
—
MI
Enumeration date
01/04/2006
Last updated
09/09/2016
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