Provider Demographics
NPI:1235752478
Name:MUNSHI, FAIZANAHMED I (MD)
Entity type:Individual
Prefix:DR
First Name:FAIZANAHMED
Middle Name:I
Last Name:MUNSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OVERLOOK RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3563
Mailing Address - Country:US
Mailing Address - Phone:085-225-0459
Mailing Address - Fax:908-522-5353
Practice Address - Street 1:33 OVERLOOK RD STE 301
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3563
Practice Address - Country:US
Practice Address - Phone:908-522-5045
Practice Address - Fax:908-522-5353
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-22
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP04960208800000X
NJ25MA12756500208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology