Provider Demographics
NPI:1356572119
Name:AHMED, FAIZI (MD)
Entity type:Individual
Prefix:DR
First Name:FAIZI
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 S BOULEVARD FL 2
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2629
Mailing Address - Country:US
Mailing Address - Phone:940-447-1601
Mailing Address - Fax:813-642-4877
Practice Address - Street 1:4710 N HABANA AVE STE 203
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7146
Practice Address - Country:US
Practice Address - Phone:813-995-1775
Practice Address - Fax:813-642-4877
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFA38510942084N0400X
MDD772792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology