Organization
SHADAB AHMED MEDICAL PC
Active
Organization
SHADAB AHMED MEDICAL PC
Active
Other names
Shadab Ahmed PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHADAB HUSSAIN AHMED M.D. (PRESIDENT)
(631) 243-5515
Entity
Organization
Contact information
Practice address
53 FAIRFIELD DR, DIX HILLS, NY 11746-7162
(631) 243-5515
Mailing address
53 FAIRFIELD DR, DIX HILLS, NY 11746-7162
(631) 243-5515
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
189464-1
NY
Other
Enumeration date
10/02/2009
Last updated
10/15/2009
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