Provider profile · NPI 1053727776
Abdur Rahman Fuzail Ahmad
Internal Medicine, Clinical Cardiac Electrophysiology · Pana, IL · NPI 1053727776 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Internal Medicine, Clinical Cardiac Electrophysiology
Enumerated
Jul 2, 2014
License(s)
67263 (WI), MD-49663 (IA), MD-49663 (IA), 036.159550 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 619 E MASON ST STE 4P57 | Springfield, IL 62701-1034 | 217-788-0706 |
| LOCATION | 101 E 9TH ST | Pana, IL 62557-1785 | 217-562-2131 |
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