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Individual

SHAHEDA R AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 CHERRY ST, TOLEDO, OH 43608-2673
(419) 251-4534
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(419) 866-1804

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35034058
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000192606
ANTHEM
OH
05
0696162
OH
05
4390441
MI
Enumeration date
07/08/2005
Last updated
01/15/2008
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