MEDICARE: DR. FAHEEM AHMAD 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	2085R0001X	Radiation Oncology Physician	4301070393	MI
2	2085R0001X	Radiation Oncology Physician	35080933	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700882685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAHEEM AHMAD MD

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 W WOOSTER ST STE 118
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-2646
Country	:	US
Telephone Number	:	419-354-3185
Fax Number	:	419-351-3187

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	01/21/2026

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