Healthcare Provider Details

I. General information

NPI: 1972390938
Provider Name (Legal Business Name): ANAS FAYAD NIMER ALAHMAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 08/08/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N FRESNO ST DEPARTMENT OF INTERNAL MEDICINE OFFICE
FRESNO CA
93701-2302
US

IV. Provider business mailing address

1170 SANTA ANA AVE APT 259
CLOVIS CA
93612
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-6550
  • Fax: 559-499-6411
Mailing address:
  • Phone: 573-530-3737
  • Fax: 559-499-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: