Individual
DR. SHAHID AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 WARRICK ST, WEST LAFAYETTE, IN 47906-1180
(765) 418-4020
Mailing address
717 WARRICK ST, WEST LAFAYETTE, IN 47906-1180
(765) 418-4020
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01050729
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036089112
IL
207RP1001X
Pulmonary Disease Physician
Primary
01050729
IN
207RP1001X
Pulmonary Disease Physician
036089112
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230237830
—
IN
Enumeration date
07/17/2006
Last updated
12/12/2025
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