Provider Demographics
NPI:1366876765
Name:BHUIYAN, TAUHID AHMED (PHARMD)
Entity type:Individual
Prefix:
First Name:TAUHID
Middle Name:AHMED
Last Name:BHUIYAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4784 BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3525
Mailing Address - Country:US
Mailing Address - Phone:313-409-9340
Mailing Address - Fax:
Practice Address - Street 1:19150 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-3220
Practice Address - Country:US
Practice Address - Phone:313-341-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist