Basic Information
| Provider Information | |||||||||
| NPI: | 1801204979 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMAD | ||||||||
| FirstName: | FARAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7710 MERCY RD STE 3000 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027170759 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7500 MERCY RD STE 3000 | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681242319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4027170759 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2014 | ||||||||
| LastUpdateDate: | 03/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 289697 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RI0200X | 31681 | NE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.