Provider Demographics
NPI:1164503165
Name:AHMED, NEIMAT A (MD)
Entity Type:Individual
Prefix:
First Name:NEIMAT
Middle Name:A
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5232 RICHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48506-2182
Mailing Address - Country:US
Mailing Address - Phone:810-736-0970
Mailing Address - Fax:810-736-3241
Practice Address - Street 1:5232 RICHFIELD RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48506-2182
Practice Address - Country:US
Practice Address - Phone:810-736-0970
Practice Address - Fax:810-736-3241
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301077830207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1164503165Medicaid