Individual
MR. FAKHAR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 475-5076
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(706) 475-5076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043840
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
043840
GA
208M00000X
Hospitalist Physician
Primary
043840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000796254K
—
GA
05
—
G43840
—
SC
Enumeration date
05/25/2006
Last updated
03/07/2023
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