Individual
DR. SHIHAB AHMED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
55 FRUIT ST, CLN 309 ANESTHESIA ASSOCIATES, BOSTON, MA 02114-2621
(617) 726-3030
(617) 724-8500
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
150818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150818
TUFTS HEALTH PLAN
MA
05
—
3165841
—
MA
01
—
J17631
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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