Healthcare Provider Details

I. General information

NPI: 1407774110
Provider Name (Legal Business Name): AHMAD HAMMOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 WEST THIRTEEN MILE ROAD, SUITE 438
ROYAL OAK MI
48073
US

IV. Provider business mailing address

3535 WEST THIRTEEN MILE ROAD, SUITE 438
ROYAL OAK MI
48073
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-9238
  • Fax: 248-551-8107
Mailing address:
  • Phone: 248-551-9238
  • Fax: 248-551-8107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number4351056960
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number4351056960
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: