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

Shahed Anam Ibn Faruk

Individual provider Family Medicine Physician · NPI 1033592498

Shahed Anam Ibn Faruk is a Family Medicine Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015

Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7645 (GA)

Record details

NPI number1033592498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 2, 2015

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