Provider Demographics
NPI:1831110675
Name:AHMAD, RHONA BETH (MD)
Entity Type:Individual
Prefix:
First Name:RHONA
Middle Name:BETH
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29994 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3225
Mailing Address - Country:US
Mailing Address - Phone:248-855-2280
Mailing Address - Fax:248-851-8698
Practice Address - Street 1:29994 NORTHWESTERN HIGHWAY
Practice Address - Street 2:SUITE F
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-855-2280
Practice Address - Fax:248-851-8698
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010454042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
06314751261Medicare ID - Type Unspecified
D91372Medicare UPIN