Provider Demographics
NPI:1801852694
Name:ZUBAIRI, AHMAD WAQQAS (MD)
Entity Type:Individual
Prefix:
First Name:AHMAD
Middle Name:WAQQAS
Last Name:ZUBAIRI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT 272801
Mailing Address - Street 2:PO BOX 67000
Mailing Address - City:DETROIT
Mailing Address - State:ID
Mailing Address - Zip Code:48267-2728
Mailing Address - Country:US
Mailing Address - Phone:517-841-6913
Mailing Address - Fax:517-841-6917
Practice Address - Street 1:205 N EAST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1753
Practice Address - Country:US
Practice Address - Phone:517-788-4730
Practice Address - Fax:517-788-4701
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010862282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00388615OtherRR MEDICRE
MI0C86389OtherBCBS GROUP
MI4860010-10Medicaid
MIP00388615OtherRR MEDICRE