Individual provider · NPI-1

Anas Ahmad, M.D.

Internal Medicine · Grand Rapids, MI

NPI number1740595735
StatusActive
Last updated in NPPESApr 23, 2015

Details

NPI
1740595735
Entity type
Individual (NPI-1)
Name
Mr. Anas Ahmad
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 13, 2010
Last updated
Apr 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301097387MIYes

Practice location

1959 East Paris Ave S.E.
Grand Rapids, MI 49546

Phone 616-808-2659 · Fax 616-808-2697

Mailing address

1959 East Paris Ave S.E.
Grand Rapids, MI 49546

Phone 517-921-8103

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