Ahmed, Faiyaz

Ahmed, Faiyaz is an individual health care provider with primary practice located at 934 West Austin Drive , Peoria IL 61614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ahmed, Faiyaz can be contacted via phone (309) 693-0030.

Contact Information

Primary practice address
934 West Austin Drive Peoria IL 61614
Phone: (309) 693-0030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036047431 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036047431 Illinois

Profile Details

NPI number 1396957247
LBN Legal business name Ahmed, Faiyaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 26th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396957247 NPPES
Illinois MEDICAID 036047431

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