Provider Demographics
NPI:1952144339
Name:AHMED, MAHA (MD)
Entity type:Individual
Prefix:MS
First Name:MAHA
Middle Name:
Last Name:AHMED
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 CHRYSLER DRIVE
Mailing Address - Street 2:TOLAN PARK BEHAVIOURAL HEALTH CLINIC
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-577-7523
Mailing Address - Fax:
Practice Address - Street 1:3901 CHRYSLER DRIVE
Practice Address - Street 2:TOLAN PARK BEHAVIOURAL HEALTH CLINIC
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-577-7523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2025-04-23
Deactivation Date:2025-01-17
Deactivation Code:
Reactivation Date:2025-04-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program