Individual
ABDUR RAHMAN FUZAIL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E 9TH ST, PANA, IL 62557-1785
(217) 562-2131
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
67263
WI
207RC0000X
Cardiovascular Disease Physician
MD-49663
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.159550
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD-49663
IA
Other
Enumeration date
07/02/2014
Last updated
02/10/2026
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