Hamtramck General Medical Practice PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301089057 Issued in MI

Legal business name

HAMTRAMCK GENERAL MEDICAL PRACTICE PLLC

Practice address

9632 Conant St
Hamtramck, MI 48212-3305

Phone

(313) 871-1912

Fax

(313) 871-1914

NPI assigned

Feb 7, 2013

Organization subpart

No

Name

Motahar H Ahmed, M.D.NPI 1104931385

Title

Owner

Phone

(248) 227-8072

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Motahar Hossain Ahmed, M.D.

  • General Practice Physician
  • Hamtramck, MI
  • NPI 1104931385

  MI

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2013.

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1295074409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123305",
            "telephone_number": "313-871-1912",
            "fax_number": "313-871-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9632 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123305",
            "telephone_number": "313-871-1912",
            "fax_number": "313-871-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK GENERAL MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOTAHAR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-227-8072",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301089057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hamtramck, MI
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.