NPI 1972506293 · live from the CMS NPI Registry
Raziuddin Ahmed, DPM
Podiatrist in South Haven, MI. National Provider Identifier 1972506293, active.
NPI record
| NPI | 1972506293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 10570 Blue Star M Hwy, South Haven, MI 49090 |
| Practice phone | 269-978-3385 |
| Enumerated | May 31, 2005 |
| Last updated | May 29, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | E 4483 (CA) |
| Podiatrist | 213E00000X | RA002029 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.