Organization
MAMOONA SHAIKH-AHMAD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FISCHER (CREDENTIALLING COORDINATOR)
(806) 761-0329
Entity
Organization
Contact information
Practice address
5219 CITY BANK PKWY, SUITE 35, LUBBOCK, TX 79407-3544
(806) 761-0334
(806) 785-0872
Mailing address
PO BOX 64412, LUBBOCK, TX 79464-4412
(806) 761-0334
(806) 785-0872
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2005-0851
NM
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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