Individual provider · NPI-1

Farzana Akter Ahmed, R-PAC

Physician Assistant · Stanford, CA

NPI number1699134254
StatusActive
Last updated in NPPESJul 12, 2021

Details

NPI
1699134254
Entity type
Individual (NPI-1)
Name
Farzana Akter Ahmed
Credential
R-PAC
Sex
Female
Sole proprietor
No
Enumeration date
Feb 10, 2016
Certification date
Jul 12, 2021
Last updated
Jul 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant57573CAYes
363A00000X Physician Assistant019314NY

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice locations

10639 78th St
Ozone Park, NY 11417-1016

Phone 347-484-4745

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