Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fauzan Mohiuddin Ahmed, MD

Individual provider Family Medicine Physician · NPI 1821580861

Fauzan Mohiuddin Ahmed, MD is a Family Practice in Etters, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1790 Old Trail Rd
Etters, PA 17319-9652
Phone: (717) 938-6588
Fax: (717) 938-9601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 30 N 4th St Fl 2, Lebanon, PA 17046-5606 — (717) 270-0474
  • 6 Perri Ave, Myerstown, PA 17067-3200 — (717) 949-6581
  • 1401 Roosevelt Ave, York, PA 17404-2244 — (717) 356-6250

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD475333 (PA)

Record details

NPI number1821580861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Etters