Organization Active NPI

Farrah F Ahmad MD PLLC

  • Internal Medicine Physician
  • Sterling HTS, MI
National Provider Identifier
1619359809
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301095204 Issued in MI
Legal business name
FARRAH F AHMAD MD PLLC
Practice address
37300 Dequindre Rd
Suite 104
Sterling HTS, MI 48310-3591
Phone
(586) 838-1749
Fax
(586) 933-5466
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Farrah F Ahmad, MDNPI 1710118633
Title
Owner MD
Phone
(248) 943-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301095204 MI Primary

Addresses

Primary practice location

37300 Dequindre Rd
Suite 104
Sterling HTS, MI 48310-3591

Mailing address

37300 Dequindre Rd
Suite 104
Sterling HTS, MI 48310-3591
Phone (586) 838-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731015965 MI Part B Supplier - Clinic/Group Practice 3072827252 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling HTS, MI

National Provider Directory

National Provider Directory

Locations

34220 Ryan Rd
Sterling Hts, MI 48310
Phone (586) 838-1749

37300 Dequindre Rd
Ste 104
Sterling Hts, MI 48310
Phone (248) 861-2580

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1619359809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-838-1749",
            "fax_number": "586-933-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 104",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-838-1749",
            "fax_number": "586-933-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRAH F AHMAD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "248-943-5915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.