Provider Demographics
NPI:1851027965
Name:AHMED, HARIS (DPT)
Entity Type:Individual
Prefix:MR
First Name:HARIS
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5299 FEDORA DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4013
Mailing Address - Country:US
Mailing Address - Phone:248-840-2152
Mailing Address - Fax:
Practice Address - Street 1:701 MARKET ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-3578
Practice Address - Country:US
Practice Address - Phone:248-236-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist