Individual
FARAZ SHAFIQUE AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611
(312) 695-4965
Mailing address
676 N SAINT CLAIR ST STE 600, CHICAGO, IL 60611-2981
(312) 695-4965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194990
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036.132788
IL
207RC0000X
Cardiovascular Disease Physician
036.132788
IL
390200000X
Student in an Organized Health Care Education/Training Program
MT194990
PA
Other
Enumeration date
05/13/2009
Last updated
08/09/2018
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