Individual
DR. FAHEEM AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEDICAL DR, LAKEWAY, TX 78734-4200
(512) 000-0000
Mailing address
207 CABO DEL SOL CV, AUSTIN, TX 78738-1719
(512) 545-7842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4888
TX
207RH0003X
Hematology & Oncology Physician
N4888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177420-06
—
TX
05
—
2177420-07
—
TX
05
—
2177420-08
—
TX
05
—
2177420-09
—
TX
05
—
2683216
—
OH
Enumeration date
05/31/2005
Last updated
06/28/2021
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