Provider Demographics
NPI:1205055746
Name:AHMAD, SAQIB MAQSOOD (MD)
Entity type:Individual
Prefix:DR
First Name:SAQIB
Middle Name:MAQSOOD
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-2339
Mailing Address - Country:US
Mailing Address - Phone:810-733-7791
Mailing Address - Fax:810-733-7898
Practice Address - Street 1:1010 N LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-2339
Practice Address - Country:US
Practice Address - Phone:810-733-7791
Practice Address - Fax:810-733-7898
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081628207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160B507820OtherBCBSM
700B510700OtherBCBS GROUP
MI160B507820OtherBCBSM
MIMI581001 INDIVIDUALMedicare PIN