Provider Demographics
NPI:1487671442
Name:ABURASHED, AHMAD HASSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:HASSAN
Last Name:ABURASHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27209 LAHSER RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8401
Mailing Address - Country:US
Mailing Address - Phone:248-354-4633
Mailing Address - Fax:248-354-4603
Practice Address - Street 1:27209 LAHSER RD
Practice Address - Street 2:SUITE 124
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8401
Practice Address - Country:US
Practice Address - Phone:248-354-4633
Practice Address - Fax:248-354-4603
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031327207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0637889OtherBLUE CROSS BLUE SHIELD MI
MI2100589Medicaid
MIA76284Medicare UPIN
MI0637889Medicare ID - Type Unspecified