Kaddurah, Ahmad

Kaddurah, Ahmad is an individual health care provider with primary practice located at 1 Hurley Plz Attn: Professional Billing Dept, Flint MI 48503-5902. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Kaddurah, Ahmad can be contacted via phone (810) 262-9353.

Contact Information

Primary practice address
1 Hurley Plz Attn: Professional Billing Dept Flint MI 48503-5902
Phone: (810) 262-9353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301063683 Michigan
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 4301063683 Michigan

Profile Details

NPI number 1376521922
LBN Legal business name Kaddurah, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 9th, 2016 - about 8 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 1376521922 NPPES
Michigan MEDICAID 4612989

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