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Contact Information

RAZIUDDIN AHMED, DPM
10570 BLUE STAR M HWY
SOUTH HAVEN, MI49090-8923
 Phone: 269-978-3385
 Fax: 269-978-2711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RAZIUDDIN AHMED · (Male)

NPI Number 1972506293
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/31/2005
Last updated 05/29/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E 4483
  • MI License # RA002029
  • MI Medicaid 4952336
  • MI Other 5802579 BCBSM
  • MI Other P00348699 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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