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Individual

FUAD R AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6247

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200000170
NC
207R00000X
Internal Medicine Physician
42038
KY
208M00000X
Hospitalist Physician
01060888A
IN
208M00000X
Hospitalist Physician
Primary
17894
SC
208M00000X
Hospitalist Physician
200000170
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000373463
BCBS - MARY STREET
IN
01
000000386251
BCBS - GATEWAY
IN
01
000000637777
ANTHEM # WITH CHS, INC.
KY
05
1093734667
NC
05
178943
SC
05
200531100
IN
05
64108798
KY
05
890638F
NC
01
P00251302
RR MEDICARE PIN
IN
01
SC53555019
MEDICARE PIN
SC
01
SC53559068
MEDICARE PIN
SC
Enumeration date
07/18/2006
Last updated
11/16/2020
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