Provider Demographics
NPI:1619359809
Name:FARRAH F AHMAD MD PLLC
Entity Type:Organization
Organization Name:FARRAH F AHMAD MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MD
Authorized Official - Prefix:
Authorized Official - First Name:FARRAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-943-5915
Mailing Address - Street 1:37300 DEQUINDRE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3591
Mailing Address - Country:US
Mailing Address - Phone:586-838-1749
Mailing Address - Fax:586-933-5466
Practice Address - Street 1:37300 DEQUINDRE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3591
Practice Address - Country:US
Practice Address - Phone:586-838-1749
Practice Address - Fax:586-933-5466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301095204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty