MEDICARE: MUHAMMAD K AHSAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	4301097463	MI
2	207R00000X	Internal Medicine Physician	35083611A	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00303491	OTHER		RAIL ROAD MEDICARE
6	P00157619	OTHER		MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000336858	OTHER	BCBS CLARK COUNTY
2	000000336869	OTHER	BCBS
4	000000509617	OTHER	BCBS FAIRFIELD HOS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467408344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD K AHSAN MD

Provider Business Mailing Address
First Line	:	1221 BOWERS ST
Second Line	:	UNIT 2653
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-7107
Country	:	US
Telephone Number	:	248-200-7756
Fax Number	:	248-281-3535

Provider Business Practice Location Address
First Line	:	1221 BOWERS ST
Second Line	:	UNIT 2653
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-7107
Country	:	US
Telephone Number	:	248-200-7756
Fax Number	:	248-281-3535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	06/19/2025

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Directions to “ MUHAMMAD K AHSAN MD” Practice Location

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