Provider Demographics
NPI:1871841858
Name:AHAD MD PC
Entity Type:Organization
Organization Name:AHAD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DURAID
Authorized Official - Middle Name:
Authorized Official - Last Name:AHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-288-4300
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48311-0633
Mailing Address - Country:US
Mailing Address - Phone:248-288-4300
Mailing Address - Fax:248-288-4311
Practice Address - Street 1:1380 COOLIDGE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7069
Practice Address - Country:US
Practice Address - Phone:248-288-4300
Practice Address - Fax:248-288-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301090907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty