Provider Demographics
NPI:1689649873
Name:AHMED, MUZAMMIL M (MD)
Entity Type:Individual
Prefix:DR
First Name:MUZAMMIL
Middle Name:M
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:33545 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4842
Mailing Address - Country:US
Mailing Address - Phone:734-595-1166
Mailing Address - Fax:734-595-6821
Practice Address - Street 1:33545 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4842
Practice Address - Country:US
Practice Address - Phone:734-595-1166
Practice Address - Fax:734-595-6821
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2010-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIMA061821208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3501564Medicaid
MI3501564Medicaid
MI0M68310002Medicare ID - Type Unspecified