Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmad Fawaz

Individual provider Physician Assistant · NPI 1073998761

Ahmad Fawaz is a Nurse Practitioner in Troy, Michigan. Qualified in 2015, 11 years ago. Practices with Emergency Professionals of Michigan PC, a 49-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2241 Atlas Dr
Troy, MI 48083-2452
Phone: (248) 835-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 Telegraph Rd, Taylor, MI 48180 — (313) 295-5007

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4707317809 (MI)
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704296870 (MI)

Record details

NPI number1073998761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Emergency Professionals Of Michigan Pc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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