Individual
DR. FARHAAN A AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10012 KENNERLY RD SUITE 300, ST LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Mailing address
10012 KENNERLY RD SUITE 300, ST LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2012008165
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01067754
MEDICARE RR
MO
Enumeration date
01/04/2007
Last updated
07/20/2016
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