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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366481905 | NPPES |
Tennessee | MEDICAID | 3816082 | |
Tennessee | MEDICAID | 200435250A | |
Tennessee | MEDICAID | 1366481905 |
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