Individual
DR. HASSAN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2431 S M 30 STE 216, WEST BRANCH, MI 48661-9388
(989) 343-3130
(989) 343-3112
Mailing address
5737 LINCOLN AVE, MORTON GROVE, IL 60053-3470
(847) 877-9719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.158803
IL
208600000X
Surgery Physician
Primary
4301505824
MI
390200000X
Student in an Organized Health Care Education/Training Program
125067329
IL
Other
Enumeration date
06/12/2015
Last updated
02/07/2022
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