Shahnaz Ahmad, MD | |
3165 Myrtle Ave, Ste 2, Granite City, IL 62040-5012 | |
(618) 876-7500 | |
(618) 876-0807 |
Full Name | Shahnaz Ahmad |
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Gender | Female |
Speciality | Pediatrics |
Location | 3165 Myrtle Ave, Granite City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184634685 | NPI | - | NPPES |
036061727 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R1A07 (Missouri) | Secondary |
208000000X | Pediatrics | 036061727 (Illinois) | Primary |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Mailing Address | Practice Location Address |
---|---|
Shahnaz Ahmad, MD 3165 Myrtle Ave, Ste 2, Granite City, IL 62040-5012 Ph: (618) 876-7500 | Shahnaz Ahmad, MD 3165 Myrtle Ave, Ste 2, Granite City, IL 62040-5012 Ph: (618) 876-7500 |
Mohammad Reza S Ashraf, Pediatrics Medicare: Medicare Enrolled Practice Location: 1420 20th St, Granite City, IL 62040 Phone: 618-877-8200 Fax: 618-877-8206 | |
Jarod Dwayne Skouby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 | |
Dr. Karthikeyan Vadakantharai Parameswaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 | |
Dr. Rachel N Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329 | |
Jamil Rana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 | |
Misha Lee Taber Martinez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3165 Myrtle Ave Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807 |