Individual
FARUQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL RD, E PATCHOGUE, NY 11772-4870
(631) 687-4131
(631) 654-7376
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 377-5667
(949) 567-9827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
245652
NY
207R00000X
Internal Medicine Physician
25MA077878
NJ
208M00000X
Hospitalist Physician
245652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059650
—
NJ
05
—
02864639
—
NY
05
—
02994801
—
NY
01
—
9092U1
BCBS - NY
NY
Enumeration date
03/29/2006
Last updated
11/22/2024
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