| Organization Name: | SHABBIR AHMED MD PC |
| NPI Number: | 1003854100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHABBIR AHMED (PRESIDENT) |
| Mailing Address: | 18600 Van Horn Rd Woodhaven |
| State: | MI US |
| Postal Code: | 481833828 |
| Phone Number: | 7346757260 |
| Fax Number: | 7346759060 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0200X |
| License Number: | 4301059486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |