Organization
RENNER INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKIL AHMED M.D. (PRESIDENT)
(972) 363-6298
Entity
Organization
Contact information
Practice address
3409 SPECTRUM BLVD STE 300, RICHARDSON, TX 75082-9713
(972) 363-3298
Mailing address
3716 ORANGE BLOSSOM CT, PLANO, TX 75025-3740
(972) 363-6298
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K9476
TX
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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