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Individual

DR. AHMED ALY FARAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-1815
(305) 243-4613
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-1815
(305) 243-4613

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME158352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115773100
FL
01
P0908
MEDICARE
FL
Enumeration date
06/23/2016
Last updated
12/22/2025
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