NPI

Abdur Rahman Fuzail Ahmad

NPI 1053727776

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2014-07-02
Last updated
2026-02-10

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Specialties

Licenses

License WI
67263
License IA
MD-49663
License IL
036.159550

Location

Practice location
101 E 9th St
City
Pana IL
Postal code
62557-1785
Phone
(217) 562-2131

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Pana, IL. 102 records in the public file.

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