Individual provider · NPI-1

Faisal Vakil Ahmed, M.D.

Internal Medicine · Peoria, IL

NPI number1477678928
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1477678928
Entity type
Individual (NPI-1)
Name
Faisal Vakil Ahmed
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036-103884ILYes

Practice location

4625 N. University Street
Peoria, IL 61614

Phone 309-692-8100 · Fax 309-692-8106

Mailing address

Po Box 10260
Peoria, IL 61612-0260

Phone 309-692-8100 · Fax 309-692-8106

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