Provider Demographics
NPI:1619965175
Name:AHMED, KHALID MOHAMMED (MD)
Entity Type:Individual
Prefix:MR
First Name:KHALID
Middle Name:MOHAMMED
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 ROBERT T LONGWAY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2190
Mailing Address - Country:US
Mailing Address - Phone:810-235-2004
Mailing Address - Fax:810-235-2841
Practice Address - Street 1:2700 ROBERT T LONGWAY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2190
Practice Address - Country:US
Practice Address - Phone:810-235-2004
Practice Address - Fax:810-235-2841
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301062460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOB5110OtherCENTRAL STATES HEALTH & W
MI1062460OtherGENESEE HEALTH PLAN
MI139149OtherCARE CHOICES
MI1001610OtherMCLAREN HEALTH PLAN
MI1001610OtherMCLAREN HEALTH ADVANTAGE
MI1062460OtherHEALTHPLUS
MI1062460OtherHEALTHPLUS PARTNERS
MI383520014050OtherCOMMUNITY CHOICE OF MICHI
MI7804582OtherAETNA
C4302OtherMCARE
MI4339609Medicaid
MI4831OtherTOTAL HEALTH CARE
MI1001610OtherMCLAREN HEALTH ADVANTAGE
MI1062460OtherGENESEE HEALTH PLAN