# FAREEDUDDIN AHMED MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487633624
- **Authorized official:** FAREEDUDDIN AHMED MD (SOLE PROPRIETOR)
- **Authorized official phone:** (563) 324-2072

## Contact information

- **Practice address:** 1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
- **Practice address phone:** (563) 421-1000
- **Mailing address:** PO BOX 850, MOLINE, IL 61266-0850
- **Mailing address phone:** (309) 762-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 23589 | KS | Yes |

## Other

- **Enumeration date:** 01/16/2006
- **Last updated:** 11/08/2007