Individual
ASYIA SHAREEN AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 N BROAD ST, 5TH FL, PHILADELPHIA, PA 19107-1519
(215) 762-6220
(215) 762-5034
Mailing address
PO BOX 829641, PHILADELPHIA, PA 19182-9641
(267) 370-5296
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD420086
PA
207RG0100X
Gastroenterology Physician
Primary
MD420086
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101009406
—
PA
Enumeration date
05/05/2006
Last updated
04/16/2021
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