Provider Demographics
NPI:1700838554
Name:AHMED, ZULFIQAR (MD)
Entity Type:Individual
Prefix:
First Name:ZULFIQAR
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PSYCH
Other - Middle Name:ONE
Other - Last Name:PLLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2150 ASSOCIATION DR STE 100
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-6039
Mailing Address - Country:US
Mailing Address - Phone:517-999-1104
Mailing Address - Fax:517-879-0403
Practice Address - Street 1:2150 ASSOCIATION DR STE 100
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-6039
Practice Address - Country:US
Practice Address - Phone:517-999-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010857632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIH90495Medicare UPIN