Healthcare Provider Details

I. General information

NPI: 1912524836
Provider Name (Legal Business Name): MUHAMMAD AHMAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3230 BEECHER RD STE 2
FLINT MI
48532-3604
US

IV. Provider business mailing address

G3230 BEECHER RD STE 2
FLINT MI
48532-3604
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-5800
  • Fax: 810-342-5810
Mailing address:
  • Phone: 810-342-5800
  • Fax: 810-342-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number1026314
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101289932
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351046483
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: