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Shamim Ahmed, MD

Internal Medicine in Woodside, NY. Individual provider (NPI-1).

NPI number1003839655
StatusActive
Last updated in NPPESMay 28, 2015

Details

NPI
1003839655
Entity type
Individual (NPI-1)
Name
Shamim Ahmed
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2006
Last updated
May 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine237709NYYes
207RG0300X Internal Medicine, Geriatric Medicine237709NY

Practice location

6413 Broadway
Woodside, NY 11377-2336

Phone 718-205-6561 · Fax 718-205-4815

Mailing address

10 Barrypark Ct
Albertson, NY 11507-1502

Phone 718-205-6561 · Fax 718-205-4815

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