Individual
MABRUR KAMAL AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
6255 INKSTER RD STE 104, GARDEN CITY, MI 48135-2538
(248) 590-0278
Mailing address
6255 INKSTER RD STE 104, GARDEN CITY, MI 48135-2538
(248) 590-0278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704313278
MI
363LF0000X
Family Nurse Practitioner
Primary
4704313278
MI
390200000X
Student in an Organized Health Care Education/Training Program
4704313278
MI
Other
Enumeration date
09/16/2024
Last updated
07/28/2026
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