Individual
DR. OMAR IMTIAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11780 TELEGRAPH RD STE 100, TAYLOR, MI 48180-6862
(734) 374-1112
(734) 374-1119
Mailing address
PO BOX 86, TAYLOR, MI 48180-0001
(734) 374-1112
(734) 374-1119
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301092682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI7264001
MEDICARE LOCALITY 99
MI
Enumeration date
06/20/2008
Last updated
03/18/2026
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