Individual
SYED FAKRUDDIN ALI AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4365
(704) 983-7856
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 984-4365
(704) 983-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01321
NC
208M00000X
Hospitalist Physician
2008-01321
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467639070
—
NC
05
—
NC2102
—
SC
Enumeration date
01/25/2008
Last updated
09/02/2016
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