Fazal Ahmad, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301033328 Issued in MI

Practice address

3100 Cross Creek Pkwy
Suite 210B
Auburn Hills, MI 48326-2774

Phone

(248) 335-1110

Fax

(248) 335-6129

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1740243757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE",
            "address_2": "SUITE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-322-3088",
            "fax_number": "248-322-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 210B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-335-1110",
            "fax_number": "248-335-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FAZAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301033328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106053709",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jala Alatassi, DDS
• Suzanne Albinger
• Janice Lynn Alexiou, LLBSW
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• Allcare Dental & Dentures of Mi PC

• Pulmonary Disease Physician in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.