Fareeduddin Ahmed MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

23589 Issued in KS

Legal business name

FAREEDUDDIN AHMED MD

Practice address

1401 W Central Park Ave
Davenport, IA 52804-1707

Phone

(563) 421-1000

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Fareeduddin Ahmed, MDNPI 1598745267

Title

Sole Proprietor

Phone

(563) 324-2072

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fareeduddin Ahmed, MD

  • Physical Medicine & Rehabilitation Physician
  • Davenport, IA
  • NPI 1598745267
  NPD (past) Authorized official

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1487633624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612660850",
            "telephone_number": "309-762-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "563-421-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAREEDUDDIN AHMED MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FAREEDUDDIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "563-324-2072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "23589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1310060",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Solutions L C
• Family Empowerment Services, Inc
• Family Health Partners of the Quad Cities, PC
• Family Resources Inc
• Family Resources, Inc
• Joan Lynn Farley, RPH
• Laquesha Farley
• Mark C Farmer, RPH
• Kevin P Farrell, P.T.
• Sami Faruqui, MD

• Physical Medicine & Rehabilitation Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.