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
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:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
122300000X Dentist MI 2901020359 Y

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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