Ahmad, Fazal

Ahmad, Fazal is an individual health care provider with primary practice located at 3100 Cross Creek Pkwy Suite 210B, Auburn Hills MI 48326-2774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ahmad, Fazal can be contacted via phone (248) 335-1110.

Contact Information

Primary practice address
3100 Cross Creek Pkwy Suite 210B Auburn Hills MI 48326-2774
Fax: (248) 335-6129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301033328 Michigan

Profile Details

NPI number 1740243757
LBN Legal business name Ahmad, Fazal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 2nd, 2014 - about 10 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 1740243757 NPPES
Michigan MEDICAID 106053709

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