Individual
DR. FAHEEM AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 745-7205
Mailing address
11300 QUAIL CREEK RD, PORTER RANCH, CA 91326-1714
(818) 419-9026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160323
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/03/2019
Last updated
04/05/2023
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