MEDICARE: FARRAH FAISAL AHMAD M.D.

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	207R00000X	Internal Medicine Physician	4301095204	MI

General Provider Information

NPI Number	:	1710118633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARRAH FAISAL AHMAD M.D.

Provider Business Mailing Address
First Line	:	34220 RYAN RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6363
Country	:	US
Telephone Number	:	248-943-5915
Fax Number	:	586-933-5466

Provider Business Practice Location Address
First Line	:	34220 RYAN RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6363
Country	:	US
Telephone Number	:	586-838-1749
Fax Number	:	586-933-5466

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

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	03/10/2026

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