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Individual

DR. SHAKEEL AHMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
8405 BAY PKWY, BROOKLYN, NY 11214-3359
(718) 331-6100
(718) 331-1723
Mailing address
8405 BAY PKWY, BROOKLYN, NY 11214-3359
(718) 331-6100
(718) 331-1723

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051635
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02745297
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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