NPI 1033592498

Shahed Anam Ibn Faruk

Practitioner Family Medicine Physician Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0004
Phone: (706) 721-2273

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 7645 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1033592498
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.