Basic Information
| Provider Information | |||||||||
| NPI: | 1205055746 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AHMAD | ||||||||
| FirstName: | SAQIB | ||||||||
| MiddleName: | MAQSOOD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 N LINDEN RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485322339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107337791 | ||||||||
| FaxNumber: | 8107337898 | ||||||||
| Practice Location | |||||||||
| Address1: | 1010 N LINDEN RD | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485322339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8107337791 | ||||||||
| FaxNumber: | 8107337898 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2007 | ||||||||
| LastUpdateDate: | 10/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 4301081628 | MI | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 700B510700 | 01 | BCBS GROUP | OTHER | 160B507820 | 01 | MI | BCBSM | OTHER |