Individual
FRED AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, 3PMB SUITE #301, SOUTHFIELD, MI 48075-4825
(248) 849-3281
Mailing address
45735 LONG FELLOW DR, SHELBY TOWNSHIP, MI 48315
(269) 312-1026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1710738125
MI
Other
Enumeration date
04/01/2024
Last updated
07/05/2024
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