Individual provider · NPI-1

Altan Fareed Ahmed, M.D.

Radiology, Vascular & Interventional Radiology · Tampa, FL

NPI number1184069411

StatusActive

Last updated in NPPESSep 16, 2025

Details

NPI: 1184069411
Entity type: Individual (NPI-1)
Name: Altan Fareed Ahmed
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Apr 30, 2013
Certification date: Sep 16, 2025
Last updated: Sep 16, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0204X	Radiology, Vascular & Interventional Radiology	ME135276	FL	Yes

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Phone 813-745-4673 · Fax 813-449-8618

Mailing address

Po Box 198441
Atlanta, GA 30384-8441

Phone 813-745-4673 · Fax 813-449-8618

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