Provider Demographics
NPI:1245601558
Name:ALI-AHMED, HAMZA
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:ALI-AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33740 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-6404
Mailing Address - Country:US
Mailing Address - Phone:586-693-5755
Mailing Address - Fax:586-693-5756
Practice Address - Street 1:33740 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-6404
Practice Address - Country:US
Practice Address - Phone:586-693-5755
Practice Address - Fax:586-693-5756
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist