Faiyaz Ahmed, MD Valid NPI
Individual provider · General Practice Physician · Peoria, IL
- NPI
- 1396957247
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- 036047431 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-05-04
- Last updated
- 2013-07-26
Practice location
934 West Austin Drive
Peoria, IL 61614
(309) 693-0030