Individual
GHAZALA AZAM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2421 MONROE ST STE 201, DEARBORN, MI 48124-3043
(313) 447-0511
(313) 447-0496
Mailing address
2421 MONROE ST STE 201, DEARBORN, MI 48124-3043
(313) 447-0511
(313) 447-0496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301100108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497949812
—
MI
Enumeration date
08/29/2007
Last updated
11/21/2018
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