Individual provider · NPI-1

Shawn Ibrar Ahmed, MD, PhD

Radiology, Diagnostic Radiology · Eden Prairie, MN

NPI number1942443080

StatusActive

Last updated in NPPESNov 28, 2023

Details

NPI: 1942443080
Entity type: Individual (NPI-1)
Name: Shawn Ibrar Ahmed
Credential: MD, PhD
Sex: Male
Sole proprietor: No
Enumeration date: Apr 18, 2009
Certification date: Nov 28, 2023
Last updated: Nov 28, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	DR.0054114	CO	Yes
2085R0202X	Radiology, Diagnostic Radiology	9901A	WY
2085R0202X	Radiology, Diagnostic Radiology	28004	NE
2085R0204X	Radiology, Vascular & Interventional Radiology	DR.0054114	CO

Practice location

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

Mailing address

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Phone 952-595-1301 · Fax 612-294-4903

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