Individual
FAISEL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
(618) 997-6250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-051104
IL
207W00000X
Ophthalmology Physician
036.126730
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036126730
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
2011002933
MO
Other
Enumeration date
05/02/2007
Last updated
04/20/2026
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