Individual provider · NPI-1

Shahab Ahmad, M.D

Internal Medicine, Adolescent Medicine · Richardson, TX

NPI number1558329979
StatusActive
Last updated in NPPESNov 22, 2010

Details

NPI
1558329979
Entity type
Individual (NPI-1)
Name
Shahab Ahmad
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
May 3, 2006
Last updated
Nov 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RA0000X Internal Medicine, Adolescent MedicineK9713TXYes

Practice location

2100 N.Collins Blvd
Suite 315
Richardson, TX 75080

Phone 972-235-2304 · Fax 972-235-8442

Mailing address

2100 N Collins Blvd
Suite 315
Richardson, TX 75080-2661

Phone 972-235-2304 · Fax 972-235-8442

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