Provider Demographics
NPI:1669211355
Name:MOHAMMAD, AHMAD ADNAN (MD)
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:ADNAN
Last Name:MOHAMMAD
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 1:1 HURLEY PLAZA, HURLEY MEDICAL CENTER
Mailing Address - Street 2:GME OFFICE 10W
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503
Mailing Address - Country:US
Mailing Address - Phone:810-262-9437
Mailing Address - Fax:810-262-7245
Practice Address - Street 1:1 HURLEY PLAZA, HURLEY MEDICAL CENTER
Practice Address - Street 2:GME OFFICE 10W
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503
Practice Address - Country:US
Practice Address - Phone:810-262-9437
Practice Address - Fax:810-262-7245
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program