Individual
AHMED SHAHAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
(401) 444-3986
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-8000
(217) 545-7063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD16635
RI
207RC0000X
Cardiovascular Disease Physician
Primary
036145640
IL
Other
Enumeration date
08/04/2015
Last updated
12/22/2025
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