Healthcare Provider Details

I. General information

NPI: 1508075433
Provider Name (Legal Business Name): SALIM HAJI AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27901 WOODWARD AVE STE 300 BEAUMONT NORTHPOINTE HEART CENTER - WOODWARD
BERKLEY MI
48072-0921
US

IV. Provider business mailing address

26901 BEAUMONT BOULEVARD STE. 3D
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 248-545-0070
  • Fax: 248-545-4850
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number4301108500
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: