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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