Individual
SHAHABUDDIN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
953 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-8398
(718) 283-6860
Mailing address
953 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-8398
(718) 283-6860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
137925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00596043
—
NY
Enumeration date
07/24/2006
Last updated
10/11/2007
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