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NPI Code Detail

MEDICARE: FARAAZ AHMED MD

MEDICARE: FARAAZ AHMED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301508380MI

General Provider Information

NPI Number : 1700415163
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAAZ AHMED MD
Provider Business Mailing Address
First Line : 6230 HOSPITAL DR
Second Line :
City : CASS CITY
State : MI
Zip : 48726-1076
Country : US
Telephone Number : 989-872-2410
Fax Number :
Provider Business Practice Location Address
First Line : 245 S RIDGE ST
Second Line :
City : PORT SANILAC
State : MI
Zip : 48469-9704
Country : US
Telephone Number : 810-376-7000
Fax Number : 810-376-4908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 04/29/2024

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