Provider Demographics
NPI:1851507909
Name:MERRIMAN MEDICAL SERVICES PC.
Entity Type:Organization
Organization Name:MERRIMAN MEDICAL SERVICES PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALAHUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-336-9000
Mailing Address - Street 1:28803 8 MILE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28803 8 MILE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2074
Practice Address - Country:US
Practice Address - Phone:248-442-4948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4057742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF32674Medicare UPIN