Ahmad, Masood

Ahmad, Masood is an sole proprietor health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ahmad, Masood can be contacted via phone (517) 205-4730.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 205-4730
Fax: (517) 205-4701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301073723 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35692 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0000035692 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 28864 Oklahoma

Profile Details

NPI number 1366481905
LBN Legal business name Ahmad, Masood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Aug 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366481905 NPPES
Tennessee MEDICAID 3816082
Tennessee MEDICAID 200435250A
Tennessee MEDICAID 1366481905

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