Ahsan Farooq, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Montgomery, AL. Individual provider (NPI-1).
NPI number1558712596
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1558712596
- Entity type
- Individual (NPI-1)
- Name
- Ahsan Farooq
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2016
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | MD.41907 | AL | Yes |
Practice location
2119 E South Blvd Ste 200Montgomery, AL 36116-2496
Phone 334-613-7070 · Fax 334-613-7072
Mailing address
301 Brown Springs RdMontgomery, AL 36117-7005
Phone 334-747-4159
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