Ahmad, Omar Imtiaz
Ahmad, Omar Imtiaz is an individual health care provider with primary practice located at 12701 Telegraph Rd Suite 210, Taylor MI 48180-6847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ahmad, Omar Imtiaz can be contacted via phone (734) 374-1112.Contact Information
Primary practice address
12701 Telegraph Rd Suite 210
Taylor MI 48180-6847
Phone: (734) 374-1112
Fax: (734) 374-1119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301092682 | Michigan |
Profile Details
| NPI number | 1568623643 |
|---|---|
| LBN Legal business name | Ahmad, Omar Imtiaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2008 |
| Last updated | Oct 28th, 2014 - about 11 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 | 1568623643 | NPPES |
| Michigan | Other | MI7264001 | MEDICARE LOCALITY 99 |
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