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FAREEDUDDIN AHMED MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAREEDUDDIN AHMED MD (SOLE PROPRIETOR)
(563) 324-2072
Entity
Organization

Contact information

Practice address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 421-1000
Mailing address
PO BOX 850, MOLINE, IL 61266-0850
(309) 762-9711

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
23589
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1310060
IA
Enumeration date
01/16/2006
Last updated
11/08/2007
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