Individual
FAREEDUDDIN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
27155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110025846
RR MEDICARE
IL
05
—
1310060
—
IA
Enumeration date
01/19/2006
Last updated
04/29/2008
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