# SHAWON AHMED PHYSICIAN ASSISTANT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275437162
- **Authorized official:** SHAWON AHMED PA (PHYSICIAN ASSISTANT/OWNER)
- **Authorized official phone:** (000) 000-0000

## Contact information

- **Practice address:** 3608 29TH ST APT 4L, ASTORIA, NY 11106-3247
- **Practice address phone:** (917) 607-7091
- **Mailing address:** 3608 29TH ST APT 4L, ASTORIA, NY 11106-3247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2026
- **Last updated:** 10/14/2026