Individual
DR. SHAHROKH AHKAMI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 PASSAIC AVE, PASSAIC, NJ 07055-4827
(973) 471-9585
(973) 471-8534
Mailing address
110 PASSAIC AVE, PASSAIC, NJ 07055-4827
(973) 471-9585
(973) 471-8534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA023763
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401005
—
NJ
Enumeration date
05/30/2006
Last updated
07/08/2007
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