Individual
FAZAL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CROSS CREEK PKWY, SUITE 210B, AUBURN HILLS, MI 48326-2774
(248) 335-1110
(248) 335-6129
Mailing address
42557 WOODWARD AVE, SUITE 130, BLOOMFIELD HILLS, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301033328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106053709
—
MI
Enumeration date
04/10/2006
Last updated
07/02/2014
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