Farag, Ahmed Aly

Farag, Ahmed Aly is an individual health care provider with primary practice located at 2401 State Ave Ste 100 , Panama City FL 32405-3942. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Farag, Ahmed Aly can be contacted via phone (502) 262-5980.

Contact Information

Primary practice address
2401 State Ave Ste 100 Panama City FL 32405-3942
Phone: (502) 262-5980
Fax: (502) 385-6561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X IP1518 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X LL39706 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME158352 Florida

Profile Details

NPI number 1659722361
LBN Legal business name Farag, Ahmed Aly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Feb 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659722361 NPPES
Florida Other P0908 MEDICARE
Florida MEDICAID 115773100 MEDICARE

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