Ahmad Kaddurah MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301063683 Issued in MI

Legal business name

AHMAD KADDURAH MD PC

Practice address

1 Hurley PLZ
Flint, MI 48503-5902

Phone

(810) 257-9000

NPI assigned

Feb 26, 2008

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad Kasim Kaddurah, MDNPI 1376521922

Title

Owner

Phone

(810) 233-7103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Kaddurah, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Flint, MI
  • NPI 1376521922
  Authorized official Same address or phone

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1942479829",
    "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": "810-233-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-257-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD KADDURAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "KADDURAH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "KASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-233-7103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301063683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104612989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsie Agbo, MD
• Riddhi Agrawal, MD
• Javier Aguirre
• Ahmad Abdel-Halim, M.D., PLLC
• Ahmad Al Dabagh, M.D., P.C.
• Ahmad Munir MD PC (Munir Heart and Valve Clinic)
• Mohammed Ahmad, MD
• Muhammad Zulfiqar Ahmad, MD
• Noshin Ahmad, MD
• Saqib Maqsood Ahmad, M.D.

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.