Basic Information
| Provider Information | |||||||||
| NPI: | 1427314855 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AHMED | ||||||||
| FirstName: | FAISAL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 875 BLAKE WILBUR DRIVE, RM 305 | ||||||||
| Address2: | |||||||||
| City: | STANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943050000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507236171 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | STANFORD MEDICAL CENTER, DEPT. OF RADIATION ONCOLOGY | ||||||||
| Address2: | 875 BLAKE WILBUR DR RM 305 | ||||||||
| City: | STANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943050000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507236171 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2012 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | A137401 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.