| Dr Farid A Ahmad, MD | |
|
2603 W Rawson Ave, 127, Oak Creek, WI 53154-8422 | |
| (414) 539-4328 | |
| (414) 304-8496 |
| Full Name | Dr Farid A Ahmad |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2603 W Rawson Ave, Oak Creek, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871916031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 61782-20 (Wisconsin) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Farid A Ahmad, MD 8911 S Ridge Croft Dr, Oak Creek, WI 53154-3945 Ph: (414) 350-0960 | Dr Farid A Ahmad, MD 2603 W Rawson Ave, 127, Oak Creek, WI 53154-8422 Ph: (414) 539-4328 |
Shereen Mohis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Lakesha Luckett, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2330 E Chestnut Dr, Oak Creek, WI 53154 Phone: 414-397-2528 | |
Kandipati Sreenivasarao, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 | |
Dr. Jessica Lynn Woznick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
Dr. Agnes Prospere, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 | |
Andrew Brayer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010 | |
Heather Butler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8020 S Howell Ave, Oak Creek, WI 53154 Phone: 414-647-3920 |