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
Fax: (217) 757-6844
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346507001 NPPES
Illinois MEDICAID 036138807

Popular Providers