Faruk, Shahed Anam Ibn

Faruk, Shahed Anam Ibn is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Faruk, Shahed Anam Ibn can be contacted via phone (706) 721-2273.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7645 Georgia

Profile Details

NPI number 1033592498
LBN Legal business name Faruk, Shahed Anam Ibn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 2nd, 2015 - about 11 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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