Amna Ayesha Ahmad
Individual provider Active NPI Emergency Medicine Physician · Detroit, MI
NPI 1801510656 · NPPES record last updated May 5, 2024
Key facts
- NPI
- 1801510656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 6666 (MI)
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-3300
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619001310 | MI | Order and Referring Only - Emergency Medicine |
9537602578 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6666 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6666 | MI | Yes |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
6413 Ridgepond PL
East Lansing, MI 48823-9777
Phone (517) 331-2042
Other providers in Detroit, MI
- Elizabeth Ahlbrand
- Brandon David Ahlgren
- Kylee Ahlstedt
- Ahmad I Shannir DDS PC
- Ahmad M Ahmad
- Hassan Ahmad
- Mah Noor Ahmad
- Maleeha Ahmad
- Maqsood Ahmad
- Mohanad Ahmad
All providers in Detroit, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.