Ahamed, Mohamed Farooq
Ahamed, Mohamed Farooq is an individual health care provider with primary practice located at 415 N 9Th St Suite 4W16, Springfield IL 62702-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ahamed, Mohamed Farooq can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
415 N 9Th St Suite 4W16
Springfield IL 62702-5303
Phone: (217) 545-8000
Fax: (217) 757-6844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 036-138807 | Illinois |
Profile Details
NPI number | 1346507001 |
---|---|
LBN Legal business name | Ahamed, Mohamed Farooq |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2012 |
Last updated | Dec 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346507001 | NPPES |
Illinois | MEDICAID | 036138807 |
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