Faridi, Ahmad B

Faridi, Ahmad B is an individual health care provider with primary practice located at 300 Prosperity Lane Suite 203, Logan WV 25601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Faridi, Ahmad B can be contacted via phone (304) 752-8800.

Contact Information

Primary practice address
300 Prosperity Lane Suite 203 Logan WV 25601
Phone: (304) 752-8800
Fax: (304) 758-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42343 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 22245 West Virginia

Profile Details

NPI number 1760426068
LBN Legal business name Faridi, Ahmad B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 7th, 2021 - about 4 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 1760426068 NPPES
Kentucky MEDICAID 7100168950

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