Provider Demographics
NPI:1124806476
Name:AHSAN, ANUM SHAZIA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANUM
Middle Name:SHAZIA
Last Name:AHSAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:37853 GLENGROVE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5946
Mailing Address - Country:US
Mailing Address - Phone:734-709-1022
Mailing Address - Fax:
Practice Address - Street 1:20480 VERNIER RD
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-1411
Practice Address - Country:US
Practice Address - Phone:248-938-0141
Practice Address - Fax:833-818-0124
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2024-01-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant