Dali Ahmad, Riad R

Dali Ahmad, Riad R is an individual health care provider with primary practice located at 600 Health Park Blvd Ste H, Grand Blanc MI 48439-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Dali Ahmad, Riad R can be contacted via phone (810) 606-7125.

Contact Information

Primary practice address
600 Health Park Blvd Ste H Grand Blanc MI 48439-2558
Phone: (810) 606-7125
Fax: (810) 606-1620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301068100 Michigan

Profile Details

NPI number 1124130539
LBN Legal business name Dali Ahmad, Riad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 23rd, 2009 - about 16 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 1124130539 NPPES
Michigan MEDICAID 4703466

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