Raziuddin Ahmed, DPM
Podiatrist in South Haven, MI. Individual provider (NPI-1).
NPI number1972506293
StatusActive
Last updated in NPPESMay 29, 2009
Details
- NPI
- 1972506293
- Entity type
- Individual (NPI-1)
- Name
- Raziuddin Ahmed
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2005
- Last updated
- May 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | E 4483 | CA | Yes |
| 213E00000X | Podiatrist | RA002029 | MI |
Practice location
10570 Blue Star M HwySouth Haven, MI 49090-8923
Phone 269-978-3385 · Fax 269-978-2711
Mailing address
10570 Blue Star M HwySouth Haven, MI 49090-8923
Phone 269-978-3385 · Fax 269-978-2711
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