Doctor Name: | MOTAHAR HOSSAIN AHMED |
NPI Number: | 1104931385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301089057 |
Business Practice Address: | 9632 Conant St Hamtramck, MI - 482123305 |
Business Phone Number: | 3138711912 |
Business Fax Number: | 3138711914 |
Mailing Address: | 9632 Conant St, HAMTRAMCK |
State: | MI |
Postal Code: | 482123305 |
Phone Number: | 3138711912 |
Fax Number: | 3138711914 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301089057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |