Provider Demographics
NPI:1619081684
Name:AHMAD, BABAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BABAR
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 LAKE LANSING RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3756
Mailing Address - Country:US
Mailing Address - Phone:517-913-3900
Mailing Address - Fax:517-913-3901
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3756
Practice Address - Country:US
Practice Address - Phone:517-913-3900
Practice Address - Fax:517-913-3901
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI430163131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1053970OtherMCLAREN HEALTH PLAN-COMMERCIAL
MIP00801399OtherRAILROAD MEDICARE
MI1053970OtherMCLAREN HEALTH PLAN-MEDICAID
MI1053970OtherMCLAREN HEALTH ADVANTAGE
MI1103302481OtherBLUE CARE NETWORK
MI200000022161OtherPHP
MI1103302481OtherBLUE CROSS BLUE SHIELD
MI200000022161OtherPHP FAMILYCARE
MI5933077OtherAETNA
MI0M21440072OtherMEDICARE ADVANTAGE
MI1103302481OtherBLUE CROSS BLUE SHIELD
MI200000022161OtherPHP FAMILYCARE