MEDICARE: FARIHA 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	52416	MN
2	207RP1001X	Pulmonary Disease Physician	52416	MN
3	207R00000X	Internal Medicine Physician	52416	MN
4	207R00000X	Internal Medicine Physician	35.097969	OH
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.097969	OH
6	207RP1001X	Pulmonary Disease Physician	35.097969	OH

General Provider Information

NPI Number	:	1376715813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARIHA AHMED MD

Provider Business Mailing Address
First Line	:	3727 MILLIKIN CT
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1512
Country	:	US
Telephone Number	:	718-755-9276
Fax Number	:

Provider Business Practice Location Address
First Line	:	3727 MILLIKIN CT
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1512
Country	:	US
Telephone Number	:	718-755-9276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	10/25/2011

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