MUTAHHAR AHMAD (NPI# 1134168388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168388 |
| Entity Type | Individual |
| Full Name | MUTAHHAR AHMAD |
| Credential | MD |
| Practice Address |
22972 Lahser Rd Southfield MI 48033-4408 |
| Practice Telephone | 2488407480 |
| Practice Fax Number | 8006606187 |
| Mailing Telephone | 2488407480 |
| Mailing Fax Number | 8006606187 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301065663 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4756764 | 05 |
| Street Address |
22972 LAHSER RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015427 | Latha Thiruchelvan Kannan | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48034-4408 | 2006-05-27 |
| 1366808438 | Optimal Consultants Group, LLC | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2016-01-05 |
| 1437538626 | Miller Rehabilitation Physicians, PC | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2015-05-21 |
| 1508244567 | Rehab Physicians of Metro Detroit | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2015-05-11 |
| 1255629655 | Tamara Terry-yousif Acho | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2011-07-19 |
| 1982990289 | Pauline Cichon | Physical Medicine & Rehabilitation | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2011-06-24 |
| 1730480203 | Kap3 Co | Pharmacy | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2010-11-15 |
| 1780850560 | Sarmad Al-mansour, Md, PC | Internal Medicine | 22972 Lahser Rd, Southfield, MI 48033 | 2008-05-01 |
| 1063605954 | Janadharn Inc | Pharmacy | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2007-08-23 |
| 1689706525 | Stanislav Zinkovsky | Occupational Therapist | 22972 Lahser Rd, Southfield, MI 48033-4408 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
| 1699386151 | Malek Medical Consulting Pllc | Family Medicine | 23648 Lahser Rd, Southfield, MI 48033-3250 | 2020-08-10 |
| 1508225509 | Anderson Medical Services PC | Family Medicine | 22255 Greenfield Rd, Ste 490, Southfield, MI 48075-3710 | 2016-02-18 |
| 1861794000 | Chiu Yuen To | Family Medicine | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2010-11-19 |
| 1982926002 | Belen Christina Guzman | Family Medicine | 24445 Northwestern Hwy, Suite 206, Southfield, MI 48075-6501 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
| 1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| 1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
| 1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
| 1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
| 1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
| 1740337393 | Dewey Carl Benson | Family Medicine | 3877 E M72, Williamsburg, MI 49690 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.