Anum Shazia Ahsan, PA-C
Individual provider Active NPI Physician Assistant · Harper Woods, MI
NPI 1124806476 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1124806476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 20480 Vernier Rd
Harper Woods, MI 48225-1411 - Phone
- (248) 938-0141
- Fax
- (833) 818-0124
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derbala Institute for Reproductive Immunology, PLLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
20480 Vernier Rd
Harper Woods, MI 48225
Phone (248) 938-0141
Interoperability endpoints
- anum.ahsan.1@29212.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
20480 Vernier Rd
Harper Woods, MI 48225-1411
Mailing address
37853 Glengrove Dr
Farmington Hills, MI 48331-5946
Phone (734) 709-1022
Other providers in Harper Woods, MI
- A & D Vending LLC
- Detrese Abbott
- Patricia Abston
- Abundant Community Recovery Services
- Ah-Unique Transportation
- Abe Al Hage
- Laquin Alexander
- Erica Allen
- Allens Consultation Services LLC
- Anderson Family Care Inc
All providers in Harper Woods, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.