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Individual
DR. MOHAMMED SHUJAUDDIN AHMED
Active
Individual
DR. MOHAMMED SHUJAUDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-113939
IL
207RN0300X
Nephrology Physician
Primary
036113939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113939
—
IL
01
—
400280
MEDICARE GROUP PTAN
IL
Enumeration date
10/31/2006
Last updated
10/22/2020
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