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DR. FAIYAZ AHMED MD
NPI 1396957247
General Practice in Peoria, IL

Active since May 04, 2007
934 WEST AUSTIN DRIVE, PEORIA, IL 61614(309) 693-0030 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Faiyaz Ahmed Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAIYAZ AHMED MD (NPI 1396957247) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (036047431) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1396957247
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. FAIYAZ AHMEDCredential: MD
Location Address934 WEST AUSTIN DRIVEPeoria, IL 61614
Mailing Address934 West Austin DrivePeoria, IL 61614 · (309) 693-0030
Phone(309) 693-0030
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 26, 2013
✔ NPI 1396957247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036047431
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X · License 036047431 (IL)
934 WEST AUSTIN DRIVE, Peoria, IL 61614
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Other Identifiers 3

Medicare ID-Type Unspecified036047431IL
Medicaid036047431IL
Medicare UPIND14758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faiyaz Ahmed's NPI number?

The NPI number for Faiyaz Ahmed is 1396957247. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Faiyaz Ahmed located?

Faiyaz Ahmed practices at 934 West Austin Drive, Peoria, IL 61614. The listed phone number is (309) 693-0030.

What is Faiyaz Ahmed's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Faiyaz Ahmed was last updated on July 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.