Ahmad Kaddurah, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

4301063683 Issued in MI

Practice address

1 Hurley PLZ
Attn: Professional Billing Dept
Flint, MI 48503-5902

Phone

(810) 262-9353

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: akaddurah1575@direct.hurleymc.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1376521922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484800956",
            "telephone_number": "810-233-7103",
            "fax_number": "810-257-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "ATTN: PROFESSIONAL BILLING DEPT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADDURAH",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301063683",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": "4301063683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4612989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahmed Alaa Kaakarli, DDS
• Mohd Majed Kachlan, DDS
• Michele Kackley, RN
• Atheer Kaddis, PHARM.D.
• Nicholas Kaddis, DDS
• Larry Edward Kage, D.O.
• Kayla Kagey, NP
• Khadra Kahin, D.C.
• Erik Kahn
• Hannah Simone Kahn

• Neurology with Special Qualifications in Child Neurology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.