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1114210002

Everything you always wanted to know about DR. DEEBAJAH AHMAD but were afraid to ask.

DR. DEEBAJAH AHMAD

You can also download the this 1114210002 data report as csv | excel | json | xml | graph
Provider Prefix Provider Last Name Provider First Name
DR. DEEBAJAH AHMAD
Gender:
Male
Enumeration date:
2011-05-25
Last update date:
2012-02-29
Current as of:
2007-08-28
Is sole proprietor?:
No
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
122300000X Dentist MI 2901020359

Phone Numbers

Type Number
Practice Location Address Telephone Number 2485101100
Practice Location Address Fax Number 2482510073

Addresses

Type Address City State Postal Country
Mailing Address 3144 JOHN R RD SUITE 100 TROY MI 48083 MI
Practice Location Address 3144 JOHN R RD SUITE 100 TROY MI 48083 MI

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