Dr. Ahmad Kaddurah, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Flint, MI. Individual provider (NPI-1).
NPI number1376521922
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1376521922
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ahmad Kaddurah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2006
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 4301063683 | MI | Yes |
| 174400000X | Specialist | 4301063683 | MI |
Practice location
1 Hurley PlzAttn: Professional Billing Dept
Flint, MI 48503-5902
Phone 810-262-9353
Mailing address
Po Box 956Grand Blanc, MI 48480-0956
Phone 810-233-7103 · Fax 810-257-9710
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