Ahmed Fazal-Ur-Rehman

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

104 Meridian Ave
Lafayette, LA 70508-7231

Phone

(337) 254-8508

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1376395822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MERIDIAN AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087231",
            "telephone_number": "337-254-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MERIDIAN AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087231",
            "telephone_number": "337-254-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZAL-UR-REHMAN",
        "first_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy D Faul, MD
• Anna G Faulk, APRN
• Ebony Faulk
• Shemeka Faulk, LPC
• Shonta R Faulk, NP
• Syed M Fazal-Ur-Rehman, M.D.,
• Jon Aubry Feerick, DDS
• Feesable Swallow Solutions & Rehabilitation, Inc
• Richard Hsin Fei, M.D. F.C.C.P.
• Lauren Felder, RD/LDN

• Student in an Organized Health Care Education/Training Program in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.