Individual
FAWWAZ AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W JEFFERSON ST, KIRKSVILLE, MO 63501-1441
(866) 626-2878
Mailing address
251 BALMORAL CT, GLENDALE HEIGHTS, IL 60139-1306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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