Individual
FARAH AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
14522 SAVIN AVE, IRVINE, CA 92606-2126
(949) 232-6810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022017321
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
08/22/2024
Last updated
04/18/2026
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