| Shadab Ahmed Medical Pc | |
|
53 Fairfield Dr Dix Hills NY 11746-7162 | |
| (631) 243-5515 | |
| Not Available |
| Full Name | Shadab Ahmed Medical Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 53 Fairfield Dr, Dix Hills, New York |
| Authorized Official Name and Position | Shadab Hussain Ahmed (PRESIDENT) |
| Authorized Official Contact | 6312435515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadab Ahmed Medical Pc 53 Fairfield Dr Dix Hills NY 11746-7162 Ph: (631) 243-5515 | Shadab Ahmed Medical Pc 53 Fairfield Dr Dix Hills NY 11746-7162 Ph: (631) 243-5515 |
| NPI Number | 1093040453 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093040453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 189464-1 (New York) | Primary |
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