Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME140000 | FL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | R3785 | TX |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | ME140000 | FL |
NPI | 1770859944 |
---|---|
Provider Name | Dr. Faisal Iftikhar Ahmad |
First Address | Jacksonville, FL 32232-5278 |
Second Address | Jacksonville, FL 32207-8432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 15/11/2019 |