Ahmad, Mutahhar

Ahmad, Mutahhar is an sole proprietor health care provider with primary practice located at 22972 Lahser Rd , Southfield MI 48033-4408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ahmad, Mutahhar can be contacted via phone (248) 840-7480.

Contact Information

Primary practice address
22972 Lahser Rd Southfield MI 48033-4408
Fax: (800) 660-6187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301065663 Michigan

Profile Details

NPI number 1134168388
LBN Legal business name Ahmad, Mutahhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Apr 25th, 2017 - about 9 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 1134168388 NPPES
Michigan MEDICAID 4756764

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